Individual provider Active NPI

Stephanie Bango

  • Internal Medicine Physician
  • New Orleans, LA
National Provider Identifier
1831584374
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
328358 Issued in LA
Practice address
1401 Jefferson Hwy
New Orleans, LA 70121-2426
Phone
(504) 842-4747
Fax
(504) 842-1242
NPI assigned
Apr 1, 2015
Last updated
Jul 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME136888 FL
Internal Medicine Physician 207R00000X 328358 LA Primary

Addresses

Primary practice location

1401 Jefferson Hwy
New Orleans, LA 70121-2426

Mailing address

1395 NW 167TH St
Miami, FL 33169-5710
Phone (305) 891-7500

Other practice location 1

1431 NE 162nd St
North Miami Beach, FL 33162-4620
Phone (305) 949-0999

Other practice location 2

3530 Houma Blvd Ste 300
Metairie, LA 70006-4203
Phone (504) 455-2648

Other practice location 3

1190 NE 125th St
North Miami, FL 33161-5020
Phone (305) 891-7500

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
I20211104001996 LA Practitioner - Internal Medicine 0244546943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Internal Medicine CurrentSince Jun 21, 2022 Accepting new patients
Jencare Neighborhood Medical Metairie, LLC CurrentSince Sep 29, 2021 Accepting new patients
Ochsner Clinic LLC Internal Medicine CurrentSince Jun 21, 2022 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients

Locations

1000 Park Centre Blvd
Ste 136
Miami Gardens, FL 33169
Phone (305) 621-0023

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

3530 Houma Blvd
Ste 300
Metairie, LA 70006
Phone (504) 264-5142

1401 Jefferson Hwy
New Orleans, LA 70121
Phone (504) 842-4747

1514 Jefferson Hwy
New Orleans, LA 70121

Interoperability endpoints

  • Direct secure messaging: sbango124976@direct.ochsner.org

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1831584374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "305-891-7500",
            "fax_number": "305-985-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212426",
            "telephone_number": "504-842-4747",
            "fax_number": "504-842-1242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1431 NE 162nd St",
            "address_purpose": "LOCATION",
            "city": "North Miami Beach",
            "state": "FL",
            "postal_code": "331624620",
            "country_code": "US",
            "telephone_number": "305-949-0999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3530 Houma Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700064203",
            "country_code": "US",
            "telephone_number": "504-455-2648",
            "fax_number": "504-264-5142",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1190 NE 125th St",
            "address_purpose": "LOCATION",
            "city": "North Miami",
            "state": "FL",
            "postal_code": "331615020",
            "country_code": "US",
            "telephone_number": "305-891-7500",
            "fax_number": "305-985-6233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANGO",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-01",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME136888",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "328358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.