Active NPI
Benjamin Grugan, MD
- Emergency Medicine Physician
- Kenner, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0101282275
- Practice address
- 180 W Esplanade Ave
Kenner, LA 70065-2467 - Phone
- (504) 468-8600
- NPI assigned
- Apr 23, 2018
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 330275 | LA | |
| Emergency Medicine Physician | 207P00000X | 0101282275 | VA | Primary |
Addresses
Primary practice location
180 W Esplanade Ave
Kenner, LA 70065-2467
Mailing address
180 W Esplanade Ave
Kenner, LA 70065-2467
Phone (504) 468-8600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Temple University School of Medicine, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
140 Vista Centre Dr
FL 2
Forest, VA 24551-3965
140 Vista Centre Dr 2ND FL
Forest, VA 24551-3965
220 Campus Blvd
Suite 320
Winchester, VA 22601-2888
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101282275 | VA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shenandoah Memorial Hospital, Inc. | Current | Accepting new patients | |
| Page Memorial Hospital, Inc. | Current | Accepting new patients | |
| Kenner Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Shenandoah Memorial Hospital, Inc. | Current | Accepting new patients | |
| Page Memorial Hospital, Inc. | Current | Accepting new patients | |
| Warren Memorial Hospital, Inc. | Emergency Medicine | Current | Accepting new patients |
| Warren Memorial Hospital, Inc. | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Shenandoah Memorial Hospital Inc. | Current | Accepting new patients | |
| Winchester Medical Center | Emergency Medicine | Current | Accepting new patients |
| St. John Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Luling Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Centra Medical Group, LLC | Current | Accepting new patients | |
| Belle Chasse Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Winchester Medical Center | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Vincent Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Winchester Medical Center | Current | Accepting new patients | |
| Shenandoah Memorial Hospital, Inc. | Past | Accepting new patients |
Locations
180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284
1900 W Airline Hwy
La Place, LA 70068
Phone (985) 652-7000
1057 Paul Maillard Rd
Luling, LA 70070
Phone (985) 785-3655
2700 Napoleon Ave
New Orleans, LA 70115
Phone (504) 842-3650
1514 Jefferson Hwy
New Orleans, LA 70121
1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200
100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131
2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157
140 Vista Centre Dr
Fl 2
Forest, VA 24551
Phone (434) 200-2297
351 Valley Health Way
Front Royal, VA 22630
Phone (540) 636-0300
200 Memorial Dr
Luray, VA 22835
Phone (540) 743-4561
1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101
1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700
759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100
240 Shenandoah St
Woodstock, VA 22664
Phone (540) 459-2808
Organizations & group practices 20
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.
-
- Emergency Medicine Physician
- New Orleans, LA
- NPI 1851714075
-
- Emergency Medicine Physician
- Kenner, LA
- NPI 1013986546
-
- Emergency Medicine Physician
- Luling, LA
- NPI 1528446101
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Emergency Medicine Physician
- La Place, LA
- NPI 1265401509
-
- Critical Access Hospital
- Luray, VA
- NPI 1326040684
-
dba Valley Health Shenandoah Memorial Hospital Multispecialty Clinic
- Rural Health Clinic/Center
- Woodstock, VA
- NPI 1952417735
-
dba Warren Memorial Hospital
- Emergency Medicine Physician
- Front Royal, VA
- NPI 1164442281
-
dba Valley Intensivists
- Critical Care Medicine (Internal Medicine) Physician
- Winchester, VA
- NPI 1679711261
-
dba Diabetes Prevention Program
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
dba Ochsner Health Center - Michoud
- Internal Medicine Physician
- New Orleans, LA
- NPI 1477077477
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lynchburg, VA
- NPI 1770693939
-
dba Centra Health Cardiothoracic Surgery
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Lynchburg, VA
- NPI 1407884448
Hospital
-
dba The Pain Center
- Pain Medicine (Anesthesiology) Physician
- Lynchburg, VA
- NPI 1811925852
Hospital
-
dba The Wound Care Center
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Lynchburg, VA
- NPI 1902834948
Hospital
-
dba CMG Vascular Surgery
- Vascular Surgery Physician
- Lynchburg, VA
- NPI 1144880782
Hospital
-
dba Centra Medical Group Stroobants Cardiovascular Center
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Lynchburg, VA
- NPI 1184964124
Hospital
-
dba Centra Lynchburg Hematology and Oncology
- Hematology & Oncology Physician
- Lynchburg, VA
- NPI 1700293628
Hospital
-
dba Centra Southside Community Hospital
- General Acute Care Hospital
- Farmville, VA
- NPI 1518952761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1760979074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 W ESPLANADE AVE",
"city": "KENNER",
"state": "LA",
"postal_code": "700652467",
"telephone_number": "504-468-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 W ESPLANADE AVE",
"city": "KENNER",
"state": "LA",
"postal_code": "700652467",
"telephone_number": "504-468-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUGAN",
"first_name": "BENJAMIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-23",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "330275",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101282275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenner, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.