Organization Active NPI

Professional Hospitalist of Louisiana, Inc.

  • Primary Care Clinic/Center
  • Chalmette, LA
National Provider Identifier
1821460254
Registry record updated Nov 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PROFESSIONAL HOSPITALIST OF LOUISIANA, INC.
Practice address
8050 W Judge Perez Dr Ste 2300
Chalmette, LA 70043-1738
Phone
(504) 826-9655
NPI assigned
Oct 26, 2015
Last updated
Nov 27, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2019

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

Authorized official

Name
Paul VerretteNPI 1487760989
Title
MD/Owner
Phone
(504) 826-9655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

8050 W Judge Perez Dr Ste 2300
Chalmette, LA 70043-1738

Mailing address

PO Box 1536
Mandeville, LA 70470-1536
Phone (504) 826-9655

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170407000914 LA Part B Supplier - Clinic/Group Practice 5092091918 Receives reassigned benefits from 4 practitioners
Practice locations: Chalmette, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574812800000",
    "number": "1821460254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1536",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704701536",
            "telephone_number": "504-826-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 W JUDGE PEREZ DR STE 2300",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700431738",
            "telephone_number": "504-826-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HOSPITALIST OF LOUISIANA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2019-11-27",
        "status": "A",
        "authorized_official_last_name": "VERRETTE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "504-826-9655"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chalmette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.