Active NPI
Tristan Michael Dao
- Internal Medicine Physician
- New Orleans, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 332688
- Practice address
- 1514 Jefferson Hwy
New Orleans, LA 70121-2429 - Phone
- (504) 842-4135
- Fax
- (504) 842-3278
- NPI assigned
- Mar 28, 2019
- Last updated
- Jun 27, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 73913 | CT | |
| Internal Medicine Physician | 207R00000X | 332688 | LA | Primary |
Addresses
Primary practice location
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Mailing address
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000
Other practice location 1
2390 W Congress St
Lafayette, LA 70506-4205
Phone (337) 261-6166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 332688 | LA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group Specialists, PLLC | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Internal Medicine | Current | Accepting new patients |
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Associated Physicians of Harvard Medical Faculty Physicians at Beth Is | Internal Medicine | Current | Accepting new patients |
| Associated Physicians of Harvard Medical Faculty Physicians at Beth Is | Current | Accepting new patients | |
| Beth Israel Deaconess Hospital Plymouth, Inc. | Past | Accepting new patients | |
| Beth Israel Deaconess Medical Center, Inc. | Past | Accepting new patients |
Locations
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
199 Reedsdale Rd
Milton, MA 02186
Phone (617) 313-1000
Organizations & group practices 8
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.
-
dba Medicine - APHMFP at BIDMC Inc.
- Internal Medicine Physician
- Boston, MA
- NPI 1497151773
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
-
- Internal Medicine Physician
- Boston, MA
- NPI 1194765438
-
dba Associated Physicians of HMFP
- Multi-Specialty Clinic/Center
- Boston, MA
- NPI 1861216038
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
-
dba Emergency Medicine - HMFP at BIDMC
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
-
- General Acute Care Hospital
- Plymouth, MA
- NPI 1043299001
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1740741164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 JEFFERSON HWY",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701212429",
"telephone_number": "504-842-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1514 JEFFERSON HWY",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701212429",
"telephone_number": "504-842-4135",
"fax_number": "504-842-3278"
}
],
"practiceLocations": [
{
"address_1": "2390 W Congress St",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "LA",
"postal_code": "705064205",
"country_code": "US",
"telephone_number": "337-261-6166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAO",
"first_name": "TRISTAN",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-28",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "73913",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "332688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.