Individual provider Active NPI

Joshua Mark Groetsch, MD

  • Ophthalmology Physician
  • Metairie, LA
National Provider Identifier
1669497590
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
025627 Issued in LA
Practice address
4324 Veterans Blvd
Suite 107
Metairie, LA 70006
Phone
(504) 883-7690
Fax
(504) 455-7864
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 025627 LA Primary

Addresses

Primary practice location

4324 Veterans Blvd
Suite 107
Metairie, LA 70006

Mailing address

4324 Veterans Blvd
Suite 107
Metairie, LA 70006
Phone (504) 883-7690

Other identifiers 1

IdentifierTypeStateIssuer
1045276MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060912000549 LA Practitioner - Ophthalmology 0547264152 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Louisiana State University School of Medicine in New Orleans, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Louisiana Medical AssociatesGroup PAC ID 8527968650, 112 clinicians
Joshua M. Groetsch, MD LLCGroup PAC ID 5294134680, 5 clinicians

Practice addresses (Care Compare)

1990 Industrial Blvd
Houma, LA 70363-7055
Phone (985) 868-9300

1990 Industrial Boulevard
Houma, LA 70363-7055

2800 Veterans Memorial Blvd
Suite 125
Metairie, LA 70002-6176
Phone (504) 833-5573

Hospital & facility affiliations

  • Leonard J Chabert Medical Center Hospital, Houma, LA, CCN 190183
  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
025627LAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joshua M. Groetsch, MD LLC Ophthalmology CurrentSince Jan 29, 2021 Accepting new patients
South Louisiana Medical Associates CurrentSince Jun 24, 2006 Accepting new patients
South Louisiana Medical Associates Ophthalmology Current Accepting new patients
South Louisiana Medical Associates CurrentSince Jun 24, 2006 Accepting new patients

Locations

1990 Industrial Blvd
Houma, LA 70363
Phone (985) 868-9300

2800 Vets Blvd
#125
Metairie, LA 70002
Phone (504) 833-5573

2800 Veterans Memorial Blvd
Ste 125
Metairie, LA 70002
Phone (504) 833-5573

Interoperability endpoints

  • Direct secure messaging: jgroetsch202614@direct.ochsner.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1669497590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4324 VETERANS BLVD",
            "address_2": "SUITE 107",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70006",
            "telephone_number": "504-883-7690",
            "fax_number": "504-455-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4324 VETERANS BLVD",
            "address_2": "SUITE 107",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70006",
            "telephone_number": "504-883-7690",
            "fax_number": "504-455-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROETSCH",
        "first_name": "JOSHUA",
        "middle_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "025627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1045276",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.