Active NPI
Cherie S. Niles, M.D.
- Gastroenterology Physician
- Marrero, LA
National Provider Identifier
1669555025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 019592
- Practice address
- 1111 Medical Center Blvd
N - 302
Marrero, LA 70072-3151 - Phone
- (504) 393-9911
- Fax
- (504) 393-7611
- NPI assigned
- Oct 21, 2006
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 019592 | LA | Primary |
Addresses
Primary practice location
1111 Medical Center Blvd
N - 302
Marrero, LA 70072-3151
Mailing address
1111 Medical Center Blvd
N - 302
Marrero, LA 70072-3151
Phone (504) 393-9911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1925110 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019592 | LA | MD | Gastroenterology Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gastroenterology Physician
- Marrero, LA
- NPI 1861630592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1669555025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 MEDICAL CENTER BLVD",
"address_2": "N - 302",
"city": "MARRERO",
"state": "LA",
"postal_code": "700723151",
"telephone_number": "504-393-9911",
"fax_number": "504-393-7611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 MEDICAL CENTER BLVD",
"address_2": "N - 302",
"city": "MARRERO",
"state": "LA",
"postal_code": "700723151",
"telephone_number": "504-393-9911",
"fax_number": "504-393-7611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NILES",
"first_name": "CHERIE",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-21",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "LA",
"license": "019592",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1925110",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marrero, LA
- Clifton Scott Nicholson-Uhl, M.D
- Craig Jason Nicholson-Uhl, NP
- Brett Otto Nickel, PTA
- Cheryl Lynn Nicks, NNP
- Laura A Nicosia, MD
- Nna of Louisiana, LLC (Fresenius Medical Care Oschner-West Bank)
- Nna of Louisiana, LLC (Fresenius Medical Care West Bank)
- Noahs Transportation LLC
- Amelia Noel, M ED
- Nola Eyes LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.