Individual provider Active NPI

Johnny Bill Delashaw Jr., MD

  • Neurological Surgery Physician
  • New Orleans, LA
National Provider Identifier
1831107309
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
325661 Issued in LA
Practice address
1430 Tulane Ave
# 8047
New Orleans, LA 70112-2632
Phone
(504) 988-5565
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD00023061 WA
Neurological Surgery Physician 207T00000X MD17696 OR
Neurological Surgery Physician 207T00000X 325661 LA Primary

Addresses

Primary practice location

1430 Tulane Ave
# 8047
New Orleans, LA 70112-2632

Mailing address

1430 Tulane Ave
# 8047
New Orleans, LA 70112-2632
Phone (504) 988-5565

Other practice location 1

102 N Adelaide St Ste C
Fenton, MI 48430-2632
Phone (810) 262-7030

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jdelashaw121177@direct.hurleymc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210114001961 LA Practitioner - Neurosurgery 8224924741 Reassigns benefits to 2 organizations
Practice locations: New Orleans, LA
I20240820000776 MI Practitioner - Neurosurgery 8224924741 Reassigns benefits to 1 organization

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
325661LAMDNeurological Surgery Physician
MD17696ORMDNeurological Surgery Physician
MD00023061WAMDNeurological Surgery Physician
89104CAMDMassage Therapist
17696ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Associates Inc PC Current Accepting new patients
Hurley Medical Center Current Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Apr 1, 2021 Accepting new patients
Hurley Medical Center Current Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Feb 26, 2022 Accepting new patients
Hurley Medical Center CurrentSince Aug 1, 2024 Accepting new patients
Hurley Medical Center Neurological Surgery CurrentSince Aug 1, 2024 Accepting new patients
Hurley Medical Center Current Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Apr 1, 2021 Accepting new patients

Locations

71211 Highway 21
Ste B
Covington, LA 70433
Phone (985) 893-9922

4224 Houma Blvd
Ste 550
Metairie, LA 70006
Phone (504) 454-5213

3800 Houma Blvd
Ste 230
Metairie, LA 70006
Phone (504) 889-9877

3800 Houma Blvd
Ste 250
Metairie, LA 70006
Phone (504) 885-3272

131 S Robertson St
Ste 1300
New Orleans, LA 70112
Phone (504) 988-3591

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1430 Tulane Ave
#8047
New Orleans, LA 70112
Phone (504) 988-3524

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

2250 Gause Blvd E
Ste 200
Slidell, LA 70461
Phone (504) 712-1410

995 Robert Blvd
Slidell, LA 70458
Phone (985) 520-0909

102 N Adelaide St
Ste C
Fenton, MI 48430
Phone (810) 262-7030

1125 S Linden Rd
Ste 100
Flint, MI 48532
Phone (810) 262-6555

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

Interoperability endpoints

  • Direct secure messaging: jdelashaw121177@direct.hurleymc.com

Organizations & group practices 9

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1831107309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE",
            "address_2": "# 8047",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE",
            "address_2": "# 8047",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-5565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 N Adelaide St Ste C",
            "address_purpose": "LOCATION",
            "city": "Fenton",
            "state": "MI",
            "postal_code": "484302632",
            "country_code": "US",
            "telephone_number": "810-262-7030",
            "fax_number": "810-208-0363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELASHAW",
        "first_name": "JOHNNY",
        "middle_name": "BILL",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WA",
            "license": "MD00023061",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OR",
            "license": "MD17696",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "LA",
            "license": "325661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdelashaw121177@direct.hurleymc.com",
            "affiliation": "N",
            "address_1": "102 N Adelaide St Ste C",
            "city": "Fenton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484302632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.