NPIMap

Organization Active NPI

Administrators of the Tulane Education Fund

Doing business as Tulane University Medical Group

  • Anatomic Pathology & Clinical Pathology Physician
  • New Orleans, LA
National Provider Identifier
1790354595
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
ADMINISTRATORS OF THE TULANE EDUCATION FUND
Doing business as
Tulane University Medical Group
Practice address
2000 Canal St
New Orleans, LA 70112-3018
Phone
(504) 702-3000
NPI assigned
Jun 24, 2021
Last updated
Jul 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Authorized official

Name
Delonder Johnson
Title
Manager
Phone
(504) 988-1508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X Primary

Addresses

Primary practice location

2000 Canal St
New Orleans, LA 70112-3018

Mailing address

PO Box 669377
Dallas, TX 75266-9377

Other identifiers 1

IdentifierTypeStateIssuer
3963418MedicaidLA

Other names 1

  • Tulane University Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031201000636 LA Part B Supplier - Clinic/Group Practice 0446163760 Receives reassigned benefits from 860 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New Orleans, LA; Woldenberg Village, LA; Metairie, LA; Baton Rouge, LA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Tulane Affiliated SVCS43 organizations share this tax ID, including this one

Other organizations with this tax ID 42

Organizations that report the same tax identification number in the National Provider Directory.

View all 42

Locations

131 S Robertson St
Fl 10
New Orleans, LA 70112
Phone (504) 988-5433

1415 Tulane Ave
Fl 5
New Orleans, LA 70112
Phone (504) 988-1001

1430 Tulane Ave
#6519
New Orleans, LA 70112

611 N Rampart St
#H
New Orleans, LA 70112
Phone (504) 584-1112

7030 Canal Blvd
Ste 110
New Orleans, LA 70124
Phone (504) 456-5152

Practitioners & affiliated clinicians

Practitioners 388

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 388

NPI Registry JSON

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1790354595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 669377",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752669377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CANAL ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701123018",
            "telephone_number": "504-702-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADMINISTRATORS OF THE TULANE EDUCATION FUND",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DELONDER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "504-988-1508"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3963418",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tulane University Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tulane University Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.