Individual provider Active NPI

Irene S. Caillouet, MD

  • Surgery Physician
  • Covington, LA
National Provider Identifier
1740440585
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
206165 Issued in LA
Practice address
728 W 11TH Ave
Covington, LA 70433-2318
Phone
(985) 892-3766
Fax
(985) 893-9567
NPI assigned
Jun 16, 2008
Last updated
Mar 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 206165 LA Primary

Addresses

Primary practice location

728 W 11TH Ave
Covington, LA 70433-2318

Mailing address

PO Box 669379
Dallas, TX 75266-9379
Phone (985) 892-3766

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
I20131216000822 LA Practitioner - General Surgery 6800036138 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Tulane University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Tammany Parish Hospital Service District No 1Group PAC ID 0749273761, shared by 6 NPIs, 162 clinicians

Practice addresses (Care Compare)

1202 S Tyler St
Covington, LA 70433-2330
Phone (985) 898-3743

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
206165LAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Aug 31, 2013 Accepting new patients
St Tammany Parish Hospital Service District No 1 CurrentSince Sep 14, 2014 Accepting new patients
St. Tammany Parish Hospital Service District No 1 Current Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Aug 31, 2013 Accepting new patients
St. Tammany Parish Hospital Service District No 1 CurrentSince Sep 14, 2014 Accepting new patients
St. Tammany Parish Hospital Service District No 1 CurrentSince Oct 30, 2015 Accepting new patients

Locations

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

606 W 11th Ave
Covington, LA 70433
Phone (504) 892-3766

606 W 11th Ave
#A
Covington, LA 70433
Phone (985) 892-3766

728 W 11th Ave
Covington, LA 70433
Phone (985) 730-7195

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1740440585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 669379",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752669379",
            "telephone_number": "985-892-3766",
            "fax_number": "985-893-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 W 11TH AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332318",
            "telephone_number": "985-892-3766",
            "fax_number": "985-893-9567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAILLOUET",
        "first_name": "IRENE",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-16",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "206165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.