Individual provider Active NPI

Mathoula Bilalis, MD

  • Gastroenterology Physician
  • Covington, LA
National Provider Identifier
1730716309
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
351498 Issued in LA
Practice address
131 Cherokee Rose LN
Covington, LA 70433-7244
Phone
(985) 871-1721
Fax
(985) 871-4049
NPI assigned
Mar 24, 2020
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 351498 LA Primary

Addresses

Primary practice location

131 Cherokee Rose LN
Covington, LA 70433-7244

Mailing address

1430 Tulane Ave RM 7031
New Orleans, LA 70112-2632
Phone (504) 988-5763

Other practice location 1

58515 Pearl Acres Rd
Slidell, LA 70461-5423
Phone (985) 871-1721

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
I20200615002770 LA Order and Referring Only - GastroenterologyPractitioner - GastroenterologyPractitioner - Internal Medicine 9830511161

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Louisiana State University School of Medicine in New Orleans, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1430 Tulane Ave
New Orleans, LA 70112-2632

1542 Tulane Ave
New Orleans, LA 70112-2865

4517 Duplessis St
New Orleans, LA 70122-7600

58515 Pearl Acres Rd
Slidell, LA 70461-5423

8267 Elmbrook Dr
Dallas, TX 75247-4030

National Provider Directory

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1730716309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE RM 7031",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 CHEROKEE ROSE LN",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337244",
            "telephone_number": "985-871-1721",
            "fax_number": "985-871-4049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "58515 Pearl Acres Rd",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704615423",
            "country_code": "US",
            "telephone_number": "985-871-1721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BILALIS",
        "first_name": "MATHOULA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "LA",
            "license": "351498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.