Individual provider Active NPI

Michael Bozelly Jones, M.D.

  • Cardiovascular Disease Physician
  • New Orleans, LA
National Provider Identifier
1801005053
Registry record updated Jul 27, 2015
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Apr 18, 2019.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
13825R Issued in LA
Practice address
3405 Saint Claude Ave
New Orleans, LA 70117-6144
Phone
(504) 662-3763
Fax
(504) 875-4768
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 13825R LA Primary
Nuclear Cardiology Physician 207UN0901X 13825R LA

Addresses

Primary practice location

3405 Saint Claude Ave
New Orleans, LA 70117-6144

Mailing address

2433 Bedford Dr
New Orleans, LA 70131-4703
Phone (504) 258-1766

Other identifiers 1

IdentifierTypeStateIssuer
1434698MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13825RLAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Occupational Health Screenings Cardiovascular Disease Current Accepting new patients
Immune Recovery Foundation LLC Past Accepting new patients
K & L Cardiovascular Cardiovascular Disease Past Accepting new patients
Immune Recovery Institute Inc Past Accepting new patients
Georgia Department of Human Resources Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437955200000",
    "number": "1801005053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2433 BEDFORD DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701314703",
            "telephone_number": "504-258-1766",
            "fax_number": "504-875-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 SAINT CLAUDE AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701176144",
            "telephone_number": "504-662-3763",
            "fax_number": "504-875-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MICHAEL",
        "middle_name": "BOZELLY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2015-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "13825R",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "LA",
            "license": "13825R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1434698",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.