Individual provider Active NPI

Jean Desse, M.D

  • Hospitalist Physician
  • Gretna, LA
National Provider Identifier
1770536229
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD.07002R Issued in LA
Practice address
2500 Belle Chasse Highway
Gretna, LA 70056
Phone
(504) 392-3131
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 07002R LA
Hospitalist Physician 208M00000X MD.07002R LA Primary

Addresses

Primary practice location

2500 Belle Chasse Highway
Gretna, LA 70056

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121
Phone (504) 842-4000

Other identifiers 2

IdentifierTypeStateIssuer
02277763MedicaidMS
1358401MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041207000585 LA Practitioner - Internal Medicine 8820054356 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
07002RLAMDInternal Medicine Physician
MD.07002RLAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excelth, Incorporated Internal Medicine CurrentSince Apr 5, 2020 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Jun 7, 2016 Accepting new patients
Excelth, Incorporated Internal Medicine CurrentSince Apr 5, 2020 Accepting new patients
Southern Inpatient Specialists, LLC Internal Medicine Past Accepting new patients
Rockledge Hospitalist Services LLC Past Accepting new patients
Crescent City Physicians, Inc. Internal Medicine Past Accepting new patients

Locations

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455

9900 Lake Forest Blvd
#F
New Orleans, LA 70127
Phone (504) 939-9984

4422 General Meyer Ave
Ste 103
New Orleans, LA 70131
Phone (504) 366-0808

1515 Poydras St
Ste 1070
New Orleans, LA 70112
Phone (504) 240-2273

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225238400000",
    "number": "1770536229",
    "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": "70121",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 BELLE CHASSE HIGHWAY",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "70056",
            "telephone_number": "504-392-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESSE",
        "first_name": "JEAN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "07002R",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "LA",
            "license": "MD.07002R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02277763",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1358401",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.