Individual provider Active NPI

Jonathan Edward Sorrel, M.D.

  • Otolaryngology Physician
  • Mandeville, LA
National Provider Identifier
1669812004
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
308153 Issued in LA
Practice address
1420 N Causeway Blvd
Mandeville, LA 70471
Phone
(985) 327-5905
Fax
(205) 623-1080
NPI assigned
Jun 30, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X T-2722 MS
Otolaryngology Physician 207Y00000X 308153 LA Primary

Addresses

Primary practice location

1420 N Causeway Blvd
Mandeville, LA 70471

Mailing address

1420 N Causeway Blvd
Mandeville, LA 70471-3104
Phone (985) 327-5905

Other practice location 1

420 Avenue F
Bogalusa, LA 70427-3634
Phone (985) 730-6970

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jsorrel1729521@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

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
I20180612002626 LA Practitioner - Otolaryngology 6507180296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
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

Practice addresses (Care Compare)

1420 N Causeway Blvd
Mandeville, LA 70471-3104
Phone (985) 327-5905

Hospital & facility affiliations

  • Slidell Memorial Hospital Hospital, Slidell, LA, CCN 190040
  • St Tammany Parish Hospital Hospital, Covington, LA, CCN 190045

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
308153LAMDOtolaryngology Physician
T-2722MSMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Louisiana ENT, Facial Plastic & Hair Restoration, Apmc CurrentSince Jul 1, 2018 Accepting new patients
Premier After Hours Past Accepting new patients
Century Oak Anesthesia, LLC PastSince Jul 1, 2018 Accepting new patients

Locations

71205 Highway 21
Covington, LA 70433
Phone (985) 327-5905

16038 Doctors Blvd
Hammond, LA 70403
Phone (985) 327-5905

15706 Professional Plz
Hammond, LA 70403
Phone (985) 542-2521

1420 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 273-5795

1258 Brownswitch Rd
Ste A
Slidell, LA 70461
Phone (985) 327-5905

Interoperability endpoints

  • Direct secure messaging: jsorrel@slent.emadirect.md

Organizations & group practices 3

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 4

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": "1372550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1669812004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 N CAUSEWAY BLVD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713104",
            "telephone_number": "985-327-5905",
            "fax_number": "205-623-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 N CAUSEWAY BLVD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "70471",
            "telephone_number": "985-327-5905",
            "fax_number": "205-623-1080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Avenue F",
            "address_purpose": "LOCATION",
            "city": "Bogalusa",
            "state": "LA",
            "postal_code": "704273634",
            "country_code": "US",
            "telephone_number": "985-730-6970",
            "fax_number": "985-730-6363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORREL",
        "first_name": "JONATHAN",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-30",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MS",
            "license": "T-2722",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": "308153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsorrel1729521@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jsorrel1729521@direct.casso.us.com",
            "address_1": "420 Avenue F",
            "city": "Bogalusa",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704273634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "420 Avenue F",
            "city": "Bogalusa",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704273634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

Verify at the official NPI Registry.