NPIMap

Individual provider Active NPI

Dennis Maestri Dale, MD

  • Pulmonary Disease Physician
  • Slidell, LA
National Provider Identifier
1780685453
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
017248 Issued in LA
Practice address
1850 Gause Blvd E
Suite 202
Slidell, LA 70461-5442
Phone
(985) 639-3777
Fax
(985) 661-3517
NPI assigned
Aug 3, 2005
Last updated
Jul 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 017248 LA Primary

Addresses

Primary practice location

1850 Gause Blvd E
Suite 202
Slidell, LA 70461-5442

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (985) 643-9704

Other identifiers 2

IdentifierTypeStateIssuer
06354594MedicaidMS
1957267MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041026000285 LA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 5597734210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Louisiana State University School of Medicine in New Orleans, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

1850 Gause Blvd E
Suite 202
Slidell, LA 70461-5455
Phone (985) 639-3777

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
017248LAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince May 1, 2016 Accepting new patients
Ochsner Clinic LLC CurrentSince May 1, 2016 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients

Locations

8050 W Judge Perez Dr
Ste 2300
Chalmette, LA 70043
Phone (504) 281-2800

8050 W Judge Perez Dr
Ste 3200
Chalmette, LA 70043
Phone (504) 493-2200

1514 Jefferson Hwy
New Orleans, LA 70121

1051 Gause Blvd
Ste 320
Slidell, LA 70458
Phone (985) 641-7577

1850 Gause Blvd E
Ste 202
Slidell, LA 70461
Phone (985) 639-3718

Interoperability endpoints

  • Direct secure messaging: ddale18499@direct.ochsner.org

Organizations & group practices 3

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1780685453",
    "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": "701212429",
            "telephone_number": "985-643-9704",
            "fax_number": "985-643-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 GAUSE BLVD E",
            "address_2": "SUITE 202",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615442",
            "telephone_number": "985-639-3777",
            "fax_number": "985-661-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALE",
        "first_name": "DENNIS",
        "middle_name": "MAESTRI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "LA",
            "license": "017248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06354594",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1957267",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.