Individual provider Active NPI

Andrew Alden Gruezke

  • General Practice Physician
  • Metairie, LA
National Provider Identifier
1669714440
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD.207209 Issued in LA
Practice address
246 Bonnabel Blvd
Metairie, LA 70005-3739
Phone
(504) 650-7692
NPI assigned
Mar 20, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Physician 208D00000X MD.207209 LA Primary

Addresses

Primary practice location

246 Bonnabel Blvd
Metairie, LA 70005-3739

Mailing address

246 Bonnabel Blvd
Metairie, LA 70005-3739
Phone (504) 650-7692

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
I20150406000278 LA Practitioner - Emergency Medicine 2365760287 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rapid Urgent Care IncGroup PAC ID 0840437174, 35 clinicians

Practice addresses (Care Compare)

1111 N Causeway Blvd
Mandeville, LA 70471-3409
Phone (985) 249-5600

218 E Boston St
Covington, LA 70433-2822
Phone (985) 246-5600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.207209LAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rapid Urgent Care, Inc. CurrentSince Jul 26, 2016 Accepting new patients
Rapid Urgent Care, Inc. CurrentSince Jul 26, 2016 Accepting new patients
Correct Care, Inc. CurrentSince Mar 13, 2015 Accepting new patients
Rapid Urgent Care, Inc Current Accepting new patients

Locations

57 Cumberland St
Bogalusa, LA 70427
Phone (985) 545-1300

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

218 E Boston St
Covington, LA 70433
Phone (985) 674-4464

301 Memorial Dr
Donaldsonvlle, LA 70346
Phone (225) 473-7931

1111 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 249-5600

2170 Gause Blvd W
Ste 101
Slidell, LA 70460
Phone (975) 326-8075

Interoperability endpoints

  • Direct secure messaging: rapidurgentcare.andrewgruezke@157500.advancedmd-direct.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507680000000",
    "number": "1669714440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 BONNABEL BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700053739",
            "telephone_number": "504-650-7692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 BONNABEL BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700053739",
            "telephone_number": "504-650-7692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUEZKE",
        "first_name": "ANDREW",
        "middle_name": "ALDEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-20",
        "last_updated": "2017-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "MD.207209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.