Active NPI
Paul Remedios, MD
- Pediatrics Physician
- Metairie, LA
National Provider Identifier
1730454059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 207589
- Practice address
- 3040 33Rd St
Metairie, LA 70001-2036 - Phone
- (504) 219-0880
- Fax
- (504) 831-2248
- NPI assigned
- Mar 20, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 207589 | LA | Primary |
Addresses
Primary practice location
3040 33Rd St
Metairie, LA 70001-2036
Mailing address
3040 33Rd St
Metairie, LA 70001-2036
Phone (504) 219-0880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2199382 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 207589 | LA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Hospital Medical Practice Corporation | Pediatrics | Current | Accepting new patients |
| Touro Infirmary | Past | Accepting new patients |
Locations
3040 33rd St
Metairie, LA 70001
Phone (504) 219-0880
2633 Napoleon Ave
Ste 707
New Orleans, LA 70115
Phone (504) 299-9980
3700 Saint Charles Ave
New Orleans, LA 70115
Phone (504) 895-7428
3700 Saint Charles Ave
Fl 7
New Orleans, LA 70115
Phone (504) 897-4242
Organizations & group practices 2
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.
-
- Pediatrics Physician
- New Orleans, LA
- NPI 1821090713
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1821098286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432166400000",
"number": "1730454059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3040 33RD ST",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700012036",
"telephone_number": "504-219-0880",
"fax_number": "504-831-2248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3040 33RD ST",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700012036",
"telephone_number": "504-219-0880",
"fax_number": "504-831-2248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REMEDIOS",
"first_name": "PAUL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-20",
"last_updated": "2015-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "207589",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2199382",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Metairie, LA
- Reliable Community Alternatives, LLC.
- Reliable Community Alternatives, LLC.
- Reliable Community Alternatives, LLC.
- Reliable Community Alternatives, LLC.
- Vanessa Michelle Reliford, FNP-C
- Renaissance Dental Implant Center, LLC
- Renal Life Link Inc
- Renal MD LLC
- Rene Koppel, M.D. - a Professional Medical Corporation
- Rene L. Deboisblanc, MD LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.