Individual provider Active NPI

Domenick Carra Grieshaber, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Metairie, LA
National Provider Identifier
1700027794
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
MD.203888 Issued in LA
Practice address
3800 Houma Blvd Ste 310
Metairie, LA 70006-4192
Phone
(504) 249-7576
Fax
(504) 454-2763
NPI assigned
Mar 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD.203888 LA
Student in an Organized Health Care Education/Training Program 390200000X
Pain Medicine (Anesthesiology) Physician 207LP2900X MD.203888 LA Primary

Addresses

Primary practice location

3800 Houma Blvd Ste 310
Metairie, LA 70006-4192

Mailing address

3800 Houma Blvd Ste 310
Metairie, LA 70006-4192
Phone (504) 249-7576

Other identifiers 2

IdentifierTypeStateIssuer
07785768MedicaidMS
1941603MedicaidLA

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
I20140728001845 LA Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 5395961361 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Louisiana State University School of Medicine in New Orleans, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

1057 Paul Maillard Rd
Luling, LA 70070-4349
Phone (985) 785-6242

3197 Richland Ave
Metairie, LA 70002-5500
Phone (504) 249-7576

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.203888LAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Apr 1, 2016 Accepting new patients
Integrated Pain and Neuroscience CurrentSince Aug 1, 2014 Accepting new patients
T & G Dermatology Apmc CurrentSince Jul 29, 2020 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Dege Pain Medicine CurrentSince Jul 29, 2020 Accepting new patients
Ochsner Clinic LLC CurrentSince Apr 1, 2016 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1057 Paul Maillard Rd
Luling, LA 70070
Phone (985) 785-3655

3800 Houma Blvd
Ste 310
Metairie, LA 70006
Phone (504) 454-2997

3197 Richland Ave
Metairie, LA 70002
Phone (504) 249-7576

2801 Napoleon Ave
New Orleans, LA 70115
Phone (504) 300-9020

1514 Jefferson Hwy
New Orleans, LA 70121

2801 Napoleon Ave
Fl 2
New Orleans, LA 70115
Phone (504) 300-9020

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

Interoperability endpoints

  • Direct secure messaging: dgrieshaber12021@direct.ochsner.org
  • FHIR API: https://api.platform.athenahealth.com/6546/brand/1/csg/1/fhir/r4
  • Direct secure messaging: domenick.grieshaber.iii.1@11393.direct.athenahealth.com

Organizations & group practices 7

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 2

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": "1237507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1700027794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 HOUMA BLVD STE 310",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064192",
            "telephone_number": "504-249-7576",
            "fax_number": "504-454-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 HOUMA BLVD STE 310",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064192",
            "telephone_number": "504-249-7576",
            "fax_number": "504-454-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIESHABER",
        "first_name": "DOMENICK",
        "middle_name": "CARRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-20",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "MD.203888",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "LA",
            "license": "MD.203888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07785768",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1941603",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.