Individual provider Active NPI

Paul Remedios, MD

  • Pediatrics Physician
  • Metairie, LA
National Provider Identifier
1730454059
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
207589 Issued in LA
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

Updated by the provider on May 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2199382MedicaidLA

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
I20190117001858 LA Practitioner - Pediatric Medicine 6901142603 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207589LAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Hospital Medical Practice Corporation Pediatrics CurrentSince Sep 18, 2018 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.

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

Sources for this page

Verify at the official NPI Registry.