Active NPI
Brenda M Mahon-Deri, MD
- Emergency Medicine Physician
- Metairie, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 09859R
- Practice address
- 3223 8TH St
Metairie, LA 70002-1623 - Phone
- (504) 833-7770
- Fax
- (504) 833-7796
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 09859R | LA | Primary |
Addresses
Primary practice location
3223 8TH St
Metairie, LA 70002-1623
Mailing address
3223 8TH St
Metairie, LA 70002-1623
Phone (504) 833-7770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1491888 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Louisiana State University School of Medicine in New Orleans, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2200 N Bryan Ave
Lamesa, TX 79331-2451
Phone (806) 872-2183
Hospital & facility affiliations
- Medical Arts Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09859R | LA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dawson County Hospital District | Current | Accepting new patients | |
| Concord Medical Group of Texas PLLC | Emergency Medicine | Current | Accepting new patients |
| Concord Medical Group PLLC | Emergency Medicine | Current | Accepting new patients |
| Dawson County Hospital District | Current | Accepting new patients | |
| Stephens Memorial Hospital District | Current | Accepting new patients | |
| Frio Hospital Association | Current | Accepting new patients | |
| East Carroll Parish Hospital | Current | Accepting new patients | |
| Correct Care, Inc. | Emergency Medicine | Current | Accepting new patients |
| C & M Medical Services, Inc. | Current | Accepting new patients | |
| Frio Hospital Association | Emergency Medicine | Current | Accepting new patients |
| Stephens Memorial Hospital District | Current | Accepting new patients | |
| Dawson County Hospital District | Current | Accepting new patients | |
| Stephens Memorial Hospital District | Current | Accepting new patients | |
| East Carroll Parish Hospital | Current | Accepting new patients | |
| Nes Louisiana Inc | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine Physicians of Dallas PA | Emergency Medicine | Past | Accepting new patients |
| Nes Louisiana Inc | Emergency Medicine | Past | Accepting new patients |
Locations
229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225
301 Memorial Dr
Donaldsonvlle, LA 70346
Phone (225) 473-7931
2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000
336 N Hood St
Lk Providence, LA 71254
Phone (318) 559-4023
3223 8th St
Metairie, LA 70002
Phone (504) 833-7770
2202 False River Dr
New Roads, LA 70760
Phone (225) 638-5702
1601 W 11th Pl
Big Spring, TX 79720
Phone (432) 263-1211
101 S Hartford St
Breckenridge, TX 76424
Phone (254) 559-3363
200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241
310 W South St
Henrietta, TX 76365
Phone (806) 647-2191
2200 N Bryan Ave
Lamesa, TX 79331
Phone (806) 872-2183
2202 N Bryan Ave
Lamesa, TX 79331
Phone (806) 872-7291
400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891
151 Medical Dr
Pearsall, TX 78061
Phone (830) 334-4126
305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500
Organizations & group practices 17
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.
-
- Rural Acute Care Hospital
- Lamesa, TX
- NPI 1134108053
-
- Emergency Medical Services (Emergency Medicine) Physician
- Metairie, LA
- NPI 1710903059
-
- Emergency Medicine Physician
- Covington, LA
- NPI 1215987441
-
- General Acute Care Hospital
- Lake Providence, LA
- NPI 1982695441
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1083630610
-
- Critical Access Hospital Clinic/Center
- Pearsall, TX
- NPI 1952308132
Emergency Medicine
-
- Urgent Care Clinic/Center
- Breckenridge, TX
- NPI 1518361369
-
- Federally Qualified Health Center (FQHC)
- Lake Providence, LA
- NPI 1508603168
-
- Multi-Specialty Clinic/Center
- Lamesa, TX
- NPI 1033364617
-
- Rural Health Clinic/Center
- Lamesa, TX
- NPI 1528015815
-
- Clinic/Center
- Pearsall, TX
- NPI 1053195032
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Lamesa, TX
- NPI 1134108053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247184000000",
"number": "1821187873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3223 8TH ST",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700021623",
"telephone_number": "504-833-7770",
"fax_number": "504-833-7796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3223 8TH ST",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700021623",
"telephone_number": "504-833-7770",
"fax_number": "504-833-7796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHON-DERI",
"first_name": "BRENDA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2009-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "09859R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1491888",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.