Individual provider Active NPI

Kevin Govan Work, M.D.

  • General Practice Physician
  • New Orleans, LA
National Provider Identifier
1750464756
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD.025394 Issued in LA
Practice address
517 Soraparu St Apt 302
New Orleans, LA 70130-2001
Phone
(504) 913-2480
Fax
(504) 895-7490
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD.025394 LA Primary

Addresses

Primary practice location

517 Soraparu St Apt 302
New Orleans, LA 70130-2001

Mailing address

517 Soraparu St Apt 302
New Orleans, LA 70130-2001
Phone (504) 913-2480

Other identifiers 1

IdentifierTypeStateIssuer
1424994MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.025394LAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chalmette Wellness Clinic LLC CurrentSince Feb 25, 2024 Accepting new patients
Atlanta Center for Breast & Aesthetic Surgery PastSince Aug 1, 2011 Accepting new patients
Mid-Town Medical Past Accepting new patients

Locations

1013B W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 271-6500

200 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-2940

Organizations & group practices 3

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1750464756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 SORAPARU ST APT 302",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701302001",
            "telephone_number": "504-913-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 SORAPARU ST APT 302",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701302001",
            "telephone_number": "504-913-2480",
            "fax_number": "504-895-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORK",
        "first_name": "KEVIN",
        "middle_name": "GOVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "MD.025394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1424994",
            "state": "LA"
        }
    ],
    "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 Apr 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.