Active NPI
Agrippa Gayden Robert Jr., MD
- Emergency Medicine Physician
- Hammond, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD.016278
- Practice address
- 15790 Paul Vega MD Dr
Hammond, LA 70403-1434 - Phone
- (985) 230-1682
- Fax
- (985) 230-1617
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD.016278 | LA | |
| Emergency Medicine Physician | 207P00000X | MD.016278 | LA | Primary |
Addresses
Primary practice location
15790 Paul Vega MD Dr
Hammond, LA 70403-1434
Mailing address
PO Box 2668
Hammond, LA 70404-2668
Phone (985) 230-1332
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 370008389 | Other | RR MEDICARE | |
| 00052293 | Medicaid | MS | |
| 1341754 | Medicaid | LA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Louisiana State University School of Medicine in New Orleans, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Oaks Medical Center LLC
Practice addresses (Care Compare)
15790 Paul Vega MD Dr
Hammond, LA 70403-1434
Phone (985) 345-2700
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.91 of 100
- Quality
- 78.17
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 67.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16278 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rapid Urgent Care, Inc. | Current | Accepting new patients | |
| Lasalle Parish Hospital Service District #1 | Current | Accepting new patients | |
| Lasalle Parish Hospital Service District #1 | Current | Accepting new patients | |
| North Oaks Medical Center, LLC | Emergency Medicine | Current | Accepting new patients |
| North Oaks Medical Center, LLC | Emergency Medicine | Current | Accepting new patients |
| Rapid Urgent Care, Inc. | Current | Accepting new patients | |
| Rapid Urgent Care, Inc | Current | Accepting new patients | |
| North Oaks Medical Center, LLC | Past | Accepting new patients | |
| North Oaks Medical Center, LLC | Past | Accepting new patients |
Locations
229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225
15837 Paul Vega Md Dr
Ste 100
Hammond, LA 70403
Phone (985) 230-6790
15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682
1111 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 249-5600
1102 N Pine Rd
Olla, LA 71465
Phone (318) 495-5302
Interoperability endpoints
- rapidurgentcare.agripparobert@157500.advancedmd-direct.com
Organizations & group practices 9
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.
-
dba Hardtner Medical Center
- Critical Access Hospital
- Olla, LA
- NPI 1184815466
-
dba North Oaks Medical Center Emergency Department Providers
- Emergency Medicine Physician
- Hammond, LA
- NPI 1871302703
-
dba North Oaks Med Ctr Professional Billing
- General Acute Care Hospital
- Hammond, LA
- NPI 1972630705
Emergency Medicine
-
- Urgent Care Clinic/Center
- Mandeville, LA
- NPI 1285970780
-
dba Hardtner Medical Clinic
- Rural Health Clinic/Center
- Olla, LA
- NPI 1053415745
-
- Urgent Care Clinic/Center
- Metairie, LA
- NPI 1104272863
-
- Urgent Care Clinic/Center
- Albany, LA
- NPI 1467085530
-
dba Hospital Based Physicians - Radiologists
- Diagnostic Radiology Physician
- Hammond, LA
- NPI 1164785648
-
- Clinical Medical Laboratory
- Hammond, LA
- NPI 1619303773
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Hammond, LA
- NPI 1144227539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506297600000",
"number": "1720010606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2668",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704042668",
"telephone_number": "985-230-1332",
"fax_number": "985-230-1334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15790 PAUL VEGA MD DR",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704031434",
"telephone_number": "985-230-1682",
"fax_number": "985-230-1617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERT",
"first_name": "AGRIPPA",
"middle_name": "GAYDEN",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2017-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "MD.016278",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "MD.016278",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "370008389",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00052293",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1341754",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.