Individual provider Active NPI

Thomas Griffin Gaines, M.D.

  • Interventional Cardiology Physician
  • Metairie, LA
National Provider Identifier
1679731574
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD.204325 Issued in LA
Practice address
3530 Houma Blvd Ste 300
Metairie, LA 70006-4203
Phone
(504) 264-5142
NPI assigned
May 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.204325 LA
Internal Medicine Physician 207R00000X ME127642 FL
Cardiovascular Disease Physician 207RC0000X ME127642 FL
Interventional Cardiology Physician 207RI0011X ME127642 FL
Interventional Cardiology Physician 207RI0011X MD.204325 LA Primary

Addresses

Primary practice location

3530 Houma Blvd Ste 300
Metairie, LA 70006-4203

Mailing address

3100 Gentilly Blvd
New Orleans, LA 70122-3854
Phone (504) 383-0599

Other practice location 1

107 Maryland Dr
Luling, LA 70070-2163
Phone (985) 308-1604

Other practice location 2

3100 Gentilly Blvd
New Orleans, LA 70122-3854
Phone (504) 383-0599

Other identifiers 1

IdentifierTypeStateIssuer
1090972MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161105000149 FL Practitioner - Cardiovascular Disease (Cardiology) 3870766744 Reassigns benefits to 1 organization
I20181206000810 LA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 3870766744 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME127642FLMDInterventional Cardiology Physician
MD.204325LAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PMR la Holding, LLC CurrentSince Sep 29, 2021 Accepting new patients
Jencare Neighborhood Medical Metairie, LLC CurrentSince Apr 25, 2021 Accepting new patients
Ekg Panel of Blake Cardiovascular Disease CurrentSince Nov 19, 2016 Accepting new patients

Locations

2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

3530 Houma Blvd
Ste 300
Metairie, LA 70006
Phone (504) 264-5142

3100 Gentilly Blvd
New Orleans, LA 70122
Phone (504) 383-0599

4710 S Carrollton Ave
New Orleans, LA 70119
Phone (504) 454-9020

Interoperability endpoints

  • Direct secure messaging: tgaines142594@direct.ochsner.org

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": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1679731574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 GENTILLY BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701223854",
            "telephone_number": "504-383-0599",
            "fax_number": "504-383-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 HOUMA BLVD STE 300",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064203",
            "telephone_number": "504-264-5142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Maryland Dr",
            "address_purpose": "LOCATION",
            "city": "Luling",
            "state": "LA",
            "postal_code": "700702163",
            "country_code": "US",
            "telephone_number": "985-308-1604",
            "fax_number": "985-308-1605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 Gentilly Blvd",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701223854",
            "country_code": "US",
            "telephone_number": "504-383-0599",
            "fax_number": "504-383-0594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAINES",
        "first_name": "THOMAS",
        "middle_name": "GRIFFIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-28",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.204325",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME127642",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME127642",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME127642",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "LA",
            "license": "MD.204325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1090972",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.