Annelies Lutgarde De Wulf, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

2647861 Issued in NY

Practice address

450 Clarkson Ave
Box 1228
Brooklyn, NY 11203-2012

Phone

(504) 382-9283

NPI assigned

Jun 30, 2008

Last updated

Sep 11, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Emergency Medicine

Education

Tulane University School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Louisiana State University School of Medicine in New Orleans FacultyGroup PAC ID 9638459613, 53 clinicians

Van Meter Emergency Physicians Inc. ApmcGroup PAC ID 4981761590, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University Medical Center New Orleans Hospital, New Orleans, LA, CCN 190005
• Lallie Kemp Medical Center Hospital, Independence, LA, CCN 191321

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Van Meter Emergency Physicians Inc. Apmc

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1649410697
  Medicare reassignment Care Compare group NPD
• Louisiana State University School of Medicine in New Orleans Faculty

  dba LSU ED Billing

  • Emergency Medicine Physician
  • New Orleans, LA
  • NPI 1275984973
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lallie Kemp Medical Center

  dba Lallie Kemp CommCare

  • General Acute Care Hospital
  • Independence, LA
  • NPI 1366767774
  Care Compare affiliation
• Lallie Kemp Medical Ctr

  dba Lallie Kemp Regional Medical Center

  • Critical Access Hospital
  • Independence, LA
  • NPI 1083661409
  Care Compare affiliation
• University Medical Center Management Corporation

  dba University Medical Center New Orleans

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1568403111
  Care Compare affiliation

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1760644850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE",
            "address_2": "BOX 1228",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032012",
            "telephone_number": "504-382-9283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE",
            "address_2": "BOX 1228",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032012",
            "telephone_number": "504-382-9283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE WULF",
        "first_name": "ANNELIES",
        "middle_name": "LUTGARDE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "PGY.1.LSUN-EM",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "203705",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "2647861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscila De Sousa
• Sylvie D De Souza, MD
• Jadie De Tolla
• Jose Allan M De Vera, PT
• Malaika De Weever, MD
• Sumit De, M.D.
• Yvonne Deacon-Martin
• Elle Deacon-Rienecker, LMHC
• Gloria Carl Deacon, LPN
• Rhonda Carlene Deacon, RN

• Emergency Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.