Raul Buada Estaris, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

07332R Issued in LA

Practice address

3321 Florida Ave
Kenner, LA 70065-3680

Phone

(504) 465-0800

Fax

(504) 461-8516

NPI assigned

Oct 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Internal Medicine

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• First Medical Clinic Apmc

  • Primary Care Clinic/Center
  • Kenner, LA
  • NPI 1447412325
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670112000000",
    "number": "1770670341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 FLORIDA AVE",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700653680",
            "telephone_number": "504-465-0800",
            "fax_number": "504-461-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 FLORIDA AVE",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700653680",
            "telephone_number": "504-465-0800",
            "fax_number": "504-461-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTARIS",
        "first_name": "RAUL",
        "middle_name": "BUADA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2022-12-04",
        "certification_date": "2022-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME69709",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "07332R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1372064",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan English
• Epiphany Physio Health, LLC
• Erica B. Jackson, M.D., LLC
• Louis James Escalada, M.D.
• Essential Health of Louisiana LLC
• Esther Wanda Inc
• Esther Wanda Inc
• Behnaz Etemadi-Shalamz
• Krissy Evans, PD
• Exceptional Dental of Kenner

• Internal Medicine Physician in Kenner, LA
• Providers in Kenner, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2022; 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.