Individual provider Active NPI

Georgios Constantinou, M.D.

  • Hematology & Oncology Physician
  • Baton Rouge, LA
National Provider Identifier
1790030278
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
309978 Issued in LA
Practice address
7777 Hennessy Blvd Ste 6000
Baton Rouge, LA 70808-4366
Phone
(225) 757-0343
Fax
(225) 757-8354
NPI assigned
Jul 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 309978 LA Primary

Addresses

Primary practice location

7777 Hennessy Blvd Ste 6000
Baton Rouge, LA 70808-4366

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 757-0343

Other practice location 1

1513 S Grand Ave Ste 360
Los Angeles, CA 90015-3465
Phone (213) 246-2422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20180816001794 LA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 5597014001 Reassigns benefits to 3 organizations
I20220422001375 CA Practitioner - Hematology/Oncology 5597014001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Our Lady of the Lake Physician Group LLCGroup PAC ID 4587849781, 637 clinicians

Practice addresses (Care Compare)

7777 Hennessy Blvd
Suite 6000
Baton Rouge, LA 70808-4366
Phone (225) 757-0343

Hospital & facility affiliations

  • Our Lady of the Lake Regional Medical Center Hospital, Baton Rouge, LA, CCN 190064
  • Womans Hospital Hospital, Baton Rouge, LA, CCN 190128

National Provider Directory

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

Practice roles (9 of 10)

OrganizationSpecialtyStatusNew patients
University Hospital & Clinics, Inc. CurrentSince Aug 1, 2018 Accepting new patients
Starling Oncology Ca, a Professional Corporation Hematology & Oncology CurrentSince Apr 15, 2022 Accepting new patients
Lafayette General Medical Center Inc. CurrentSince Aug 1, 2018 Accepting new patients
Our Lady of the Lake Physician Group LLC Current Accepting new patients
Lafayette General Medical Center Inc. CurrentSince Aug 1, 2018 Accepting new patients
University Hospital & Clinics Inc CurrentSince Aug 1, 2018 Accepting new patients
Our Lady of the Lake Physician Group LLC CurrentSince Nov 1, 2024 Accepting new patients
The Oncology Institute Ca, a Professional Corporation Hematology & Oncology CurrentSince Apr 15, 2022 Accepting new patients
Our Lady of the Lake Physician Group LLC Hematology & Oncology Past Accepting new patients

Locations

900 S Main St
Ste 204
Corona, CA 92882
Phone (951) 372-2400

11100 Warner Ave
Ste 214
Fountain Vly, CA 92708
Phone (714) 594-7820

3300 E South St
Ste 304
Lakewood, CA 90805
Phone (562) 232-0550

1513 S Grand Ave
Ste 300
Los Angeles, CA 90015
Phone (213) 246-2422

1513 S Grand Ave
Ste 360
Los Angeles, CA 90015
Phone (213) 246-2422

1701 E Cesar E Chavez Ave
Ste 535
Los Angeles, CA 90033
Phone (323) 223-5900

41865 Boardwalk
Ste 100
Palm Desert, CA 92211
Phone (760) 281-3203

399 E Highland Ave
Ste 501
Sn Bernrdno, CA 92404
Phone (909) 982-4252

425 Haaland Dr
Ste 103
Thousand Oaks, CA 91361
Phone (805) 345-2020

2067 W Vista Way
Ste 295
Vista, CA 92083
Phone (526) 735-3226

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

500 Rue de la Vie St
Ste 430
Baton Rouge, LA 70817
Phone (225) 214-6700

5439 Airline Hwy
Baton Rouge, LA 70805
Phone (225) 358-2280

7777 Hennessy Blvd
Ste 6000
Baton Rouge, LA 70808
Phone (225) 765-8648

1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222

2647 S Saint Elizabeth Blvd
Ste 312
Gonzales, LA 70737

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

324 Dulles Dr
Lafayette, LA 70506

5000 Odonavan Blvd
Ste 404
Walker, LA 70785
Phone (225) 369-8100

6180 Main St
Ste A
Zachary, LA 70791
Phone (225) 658-4400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: gconstantinou5312853@direct.casso.us.com

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1790030278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-757-0343",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD STE 6000",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084366",
            "telephone_number": "225-757-0343",
            "fax_number": "225-757-8354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1513 S Grand Ave Ste 360",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900153465",
            "country_code": "US",
            "telephone_number": "213-246-2422",
            "fax_number": "213-246-2019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONSTANTINOU",
        "first_name": "GEORGIOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-19",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "LA",
            "license": "309978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.