Individual provider Active NPI

Minh Cong Dao, M.D.

  • Family Medicine Physician
  • New Orleans, LA
National Provider Identifier
1821050089
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
09214R Issued in LA
Practice address
4657 Alcee Fortier Blvd
Suite-a
New Orleans, LA 70129-2140
Phone
(504) 254-4011
Fax
(504) 254-4016
NPI assigned
Apr 4, 2006
Last updated
Aug 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 09214R LA Primary

Addresses

Primary practice location

4657 Alcee Fortier Blvd
Suite-a
New Orleans, LA 70129-2140

Mailing address

4657 Alcee Fortier Blvd
Suite-a
New Orleans, LA 70129-2140
Phone (504) 254-4011

Other identifiers 1

IdentifierTypeStateIssuer
1675261MedicaidLA

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
I20070430000588 LA Practitioner - Family PracticePractitioner - Internal Medicine 2567568090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Versailles Neighborhood ClinicGroup PAC ID 3375621964, 2 clinicians

Practice addresses (Care Compare)

4657 Alcee Fortier Blvd
Suite a
New Orleans, LA 70129-2140
Phone (504) 254-4011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
09214RLAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Versailles Neighborhood Clinic Family Medicine CurrentSince Jan 1, 2008 Accepting new patients
Hospital Service District No. 2 Past Accepting new patients

Locations

4657 Alcee Fortier Blvd
#A
New Orleans, LA 70129
Phone (504) 254-4011

4657 Alcee Fortier Blvd
Ste A
New Orleans, LA 70129
Phone (504) 254-4011

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219017600000",
    "number": "1821050089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4657 ALCEE FORTIER BLVD",
            "address_2": "SUITE-A",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701292140",
            "telephone_number": "504-254-4011",
            "fax_number": "504-254-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4657 ALCEE FORTIER BLVD",
            "address_2": "SUITE-A",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701292140",
            "telephone_number": "504-254-4011",
            "fax_number": "504-254-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAO",
        "first_name": "MINH",
        "middle_name": "CONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2008-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "09214R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1675261",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.