Individual provider Active NPI

Elyse Stevens

  • Internal Medicine Physician
  • New Orleans, LA
National Provider Identifier
1790217644
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
323642 Issued in LA
Practice address
433 Bolivar St
New Orleans, LA 70112-7021
Phone
(504) 962-6120
NPI assigned
Mar 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 323642 LA Primary

Addresses

Primary practice location

433 Bolivar St
New Orleans, LA 70112-7021

Mailing address

433 Bolivar St
New Orleans, LA 70112-7021
Phone (404) 307-4415

Other names 1

  • Elyse Sparkls Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address estev4@lsuhsc.edu

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20201008000626 LA Practitioner - Internal Medicine 4981023173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Tulane University School of Medicine, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4007 Estate Diamond Ruby
Christiansted, VI 00820-4435

Hospital & facility affiliations

  • Gov Juan F Luis Hospital & Medical Ctr Hospital, St Croix, VI, CCN 480002

Merit-based Incentive Payment System (MIPS)

Final score
94.21 of 100Reported as group
Quality
81.06
Promoting interoperability
100
Improvement activities
40
Cost
71.94

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
323642LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Aug 1, 2020 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G Current Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Aug 1, 2020 Accepting new patients

Locations

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

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

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1790217644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 BOLIVAR ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701127021",
            "telephone_number": "404-307-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 BOLIVAR ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701127021",
            "telephone_number": "504-962-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "ELYSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "323642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "estev4@lsuhsc.edu",
            "affiliation": "N",
            "address_1": "433 Bolivar St",
            "city": "New Orleans",
            "state": "LA",
            "country_code": "US",
            "postal_code": "701127021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELYSE",
            "last_name": "SPARKLS",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.