Individual provider Active NPI

Benjamin Mauldin Lowenburg, M.D.

  • Forensic Psychiatry Physician
  • New Orleans, LA
National Provider Identifier
1770872285
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Psychiatry PhysicianTaxonomy code 2084F0202X
License
MD.206092 Issued in LA
Practice address
1440 Canal St
TB-53
New Orleans, LA 70112-2703
Phone
(504) 988-4272
NPI assigned
Apr 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X MD.206092 LA Primary

Addresses

Primary practice location

1440 Canal St
TB-53
New Orleans, LA 70112-2703

Mailing address

1440 Canal St
TB-53
New Orleans, LA 70112-2703
Phone (504) 988-4272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, NY, CA, AZ4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20160721001062 LA Practitioner - Psychiatry 1557654084 Reassigns benefits to 2 organizations
I20220819000859 NY Practitioner - Psychiatry 1557654084 Reassigns benefits to 1 organization
I20230721001392 CA Practitioner - PsychiatryPractitioner - Addiction Medicine 1557654084 Reassigns benefits to 1 organization
I20231113001704 AZ Practitioner - Psychiatry 1557654084 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.206092LAMDForensic Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Jul 1, 2016 Accepting new patients
Dennis Mihale MD of Ny PC CurrentSince Jun 21, 2022 Accepting new patients
Upward Health of California, PC CurrentSince Apr 14, 2023 Accepting new patients
East Louisiana State Hospital CurrentSince Aug 1, 2017 Accepting new patients
Upward Health of Arizona LLC CurrentSince Sep 27, 2023 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Jul 1, 2016 Accepting new patients
Tulane School Department of Psychiatry Past Accepting new patients

Locations

400 Concar Dr
San Mateo, CA 94402
Phone (650) 332-2741

4502 Highway 951
Jackson, LA 70748
Phone (225) 634-0224

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1430 Tulane Ave
#8448
New Orleans, LA 70112

1440 Canal St
#53
New Orleans, LA 70112
Phone (504) 988-2201

80 Arkay Dr
Ste 230
Hauppauge, NY 11788
Phone (631) 540-8225

Interoperability endpoints

  • Direct secure messaging: benjamin.lowenburg.1@15578.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1770872285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 CANAL ST",
            "address_2": "TB-53",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122703",
            "telephone_number": "504-988-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 CANAL ST",
            "address_2": "TB-53",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122703",
            "telephone_number": "504-988-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWENBURG",
        "first_name": "BENJAMIN",
        "middle_name": "MAULDIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-05",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "LA",
            "license": "MD.206092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.