Owen Mogabgab, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MD.206730 Issued in LA

Practice address

107 Maryland Dr
Luling, LA 70070

Phone

(985) 308-1604

Fax

(985) 308-1605

NPI assigned

Jan 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine

Education

University of Texas Medical School at Houston, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cardiovascular Institute of the South, LLC 145 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Touro Infirmary Hospital, New Orleans, LA, CCN 190046
• Thibodaux Regional Medical Center Hospital, Thibodaux, LA, CCN 190004
• Terrebonne General Medical Center - Parish Hospital, Houma, LA, CCN 190008
• Lady of the Sea General Hospital Hospital, Cut Off, LA, CCN 191325
• West Jefferson Medical Center Hospital, Marrero, LA, CCN 190039

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: omogabgab521389@direct.ochsner.org

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.

• Cardiovascular Institute of the South, LLC

  • Cardiovascular Disease Physician
  • Houma, LA
  • NPI 1982689113

  LA

  Medicare reassignment Care Compare group
• Administrators of the Tulane Educational Fund

  • Specialist
  • New Orleans, LA
  • NPI 1528014164

  LA

  Medicare reassignment NPD
• Lafayette Health Ventures Inc

  • Family Medicine Physician
  • Lafayette, LA
  • NPI 1417986092

  LA

  Medicare reassignment NPD
• Lsuhn Billing LLC

  • Multi-Specialty Clinic/Center
  • Lafayette, LA
  • NPI 1992975775

  LA

  Medicare reassignment NPD
• Lafayette Health Ventures Inc

  • Anesthesiology Physician
  • Jennings, LA
  • NPI 1063124568
  NPD
• Lafayette Health Ventures, Inc

  • Family Medicine Physician
  • Crowley, LA
  • NPI 1982355152
  NPD
• Lsuhn Billing LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Baton Rouge, LA
  • NPI 1306247556
  NPD
• Administrators of the Tulane Educational Fund

  • Specialist
  • Hattiesburg, MS
  • NPI 1033395298
  NPD

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

• Lafourche Parish Hospital Service District No.1

  • Critical Access Hospital
  • Cut Off, LA
  • NPI 1407883341

  Hospital

  Care Compare affiliation
• Terrebonne Parish Hospital Service District #1

  • General Acute Care Hospital
  • Houma, LA
  • NPI 1518924109

  Hospital

  Care Compare affiliation
• Thibodaux Regional Health System Inc

  • General Acute Care Hospital
  • Thibodaux, LA
  • NPI 1902465065

  Hospital

  Care Compare affiliation
• Touro Infirmary

  • Rehabilitation Hospital Unit
  • New Orleans, LA
  • NPI 1588817878

  Hospital

  Care Compare affiliation
• Touro Infirmary

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1821098286

  Hospital

  Care Compare affiliation
• West Jefferson Holdings, LLC

  • General Acute Care Hospital
  • Marrero, LA
  • NPI 1265437644

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1669528915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 AMBASSADOR CAFFERY PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705065939",
            "telephone_number": "337-369-9213",
            "fax_number": "337-367-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MARYLAND DR",
            "city": "LULING",
            "state": "LA",
            "postal_code": "70070",
            "telephone_number": "985-308-1604",
            "fax_number": "985-308-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGABGAB",
        "first_name": "OWEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "228777",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "BP1-0038347",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "MD.206730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McGraw and Associates, LLC
• Susan Leggett Melancon, RDN, LDN
• Elena Marino Miller
• James D Miller III, P.T.
• Elissa S Millman
• Monica Vial Benson, M.D., Apmc
• David W Munn Jr., OPTICIAN
• Heidi B. Murray, CRNA
• Moustafa Nachabe, MD
• Lantrelle L Nelson

• All providers in Luling, LA
• Cardiovascular Disease Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.