Individual provider Active NPI

Robert C Mercadel, MD

  • Emergency Medicine Physician
  • Slidell, LA
National Provider Identifier
1679689434
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD.024337 Issued in LA
Practice address
1001 Gause Blvd
Emergency Room
Slidell, LA 70458-2939
Phone
(985) 649-8542
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD.024337 LA Primary

Addresses

Primary practice location

1001 Gause Blvd
Emergency Room
Slidell, LA 70458-2939

Mailing address

1001 Gause Blvd
Emergency Room
Slidell, LA 70458-2939
Phone (985) 649-8542

Other identifiers 2

IdentifierTypeStateIssuer
1570303MedicaidLA
F8683OtherLABCBS

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
I20040124000290 LA Practitioner - Emergency Medicine 4688576002 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Tulane University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vincent Emergency Group, LLCGroup PAC ID 0840621926, 43 clinicians

Practice addresses (Care Compare)

1001 Gause Blvd
Slidell, LA 70458-2939
Phone (985) 280-2200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.024337LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vincent Emergency Group, LLC Emergency Medicine CurrentSince May 1, 2020 Accepting new patients
Acs Primary Care Physicians Louisiana PC Emergency Medicine CurrentSince Jun 1, 2008 Accepting new patients
Keith Van Meter & Associates Past Accepting new patients
Ochsner Clinic LLC Past Accepting new patients
ER Professional Fee Billing C/O Slidell Memorial Hospital Emergency Medical Services Past Accepting new patients

Locations

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Slidell Memorial HospitalSlidell, LA, CCN 190040 Hospital Corporate Director Jan 1, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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 1

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1679689434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 GAUSE BLVD",
            "address_2": "EMERGENCY ROOM",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582939",
            "telephone_number": "985-649-8542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 GAUSE BLVD",
            "address_2": "EMERGENCY ROOM",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582939",
            "telephone_number": "985-649-8542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADEL",
        "first_name": "ROBERT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "MD.024337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1570303",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "F8683",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.