Individual provider Active NPI

Roderick W Chandler Jr., M.D.

  • Orthopaedic Surgery Physician
  • Mandeville, LA
National Provider Identifier
1740226802
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD.025612 Issued in LA
Practice address
2330 N Causeway Blvd
Mandeville, LA 70471-6402
Phone
(985) 674-1700
Fax
(985) 674-1722
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD.025612 LA Primary

Addresses

Primary practice location

2330 N Causeway Blvd
Mandeville, LA 70471-6402

Mailing address

2330 N Causeway Blvd
Mandeville, LA 70471-6402
Phone (985) 674-1700

Other identifiers 1

IdentifierTypeStateIssuer
1046230MedicaidLA

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
I20060420000169 LA Practitioner - Orthopedic Surgery 4284643198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Louisiana State University School of Medicine in New Orleans, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avala Physician Network LLCGroup PAC ID 8527472422, 12 clinicians

Practice addresses (Care Compare)

67252 Industry LN
Covington, LA 70433-8704
Phone (985) 801-0259

Hospital & facility affiliations

  • Southeast Louisiana Home Health, LLC Home health agency, Covington, LA, CCN 197023
  • Mississippi Homecare of Picayune Home health agency, Picayune, MS, CCN 257141
  • Avala Hospital, Covington, LA, CCN 190267
  • St Tammany Parish Hospital Hospital, Covington, LA, CCN 190045
  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036
  • North Oaks Medical Center Hospital, Hammond, LA, CCN 190015

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Avala Physician Network, LLC Orthopaedic Surgery CurrentSince Apr 1, 2022 Accepting new patients

Locations

67252 Industry Ln
Covington, LA 70433
Phone (985) 801-0259

1200 Pinnacle Pkwy
Ste 3
Covington, LA 70433
Phone (985) 674-1700

15828 Professional Plz
Hammond, LA 70403
Phone (985) 674-1700

Organizations & group practices 1

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 8

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280361600000",
    "number": "1740226802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 N CAUSEWAY BLVD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704716402",
            "telephone_number": "985-674-1700",
            "fax_number": "985-674-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 N CAUSEWAY BLVD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704716402",
            "telephone_number": "985-674-1700",
            "fax_number": "985-674-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "RODERICK",
        "middle_name": "W",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2010-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "MD.025612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1046230",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

Verify at the official NPI Registry.