Individual provider Active NPI

Patrick Roan Ellender, M.D.

  • Orthopaedic Surgery Physician
  • Thibodaux, LA
National Provider Identifier
1841469681
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
026384 Issued in LA
Practice address
726 N Acadia Rd
Suite 1000
Thibodaux, LA 70301-5009
Phone
(985) 625-2200
Fax
(985) 625-2206
NPI assigned
Feb 26, 2008
Last updated
May 11, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 026384 LA Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 026384 LA

Addresses

Primary practice location

726 N Acadia Rd
Suite 1000
Thibodaux, LA 70301-5009

Mailing address

PO Box 28
Thibodaux, LA 70302-0028
Phone (985) 492-1200

Other identifiers 1

IdentifierTypeStateIssuer
1066044MedicaidLA

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
I20090812000079 LA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 5890860761 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Sports Specialists of Louisiana LLCGroup PAC ID 5991893869, 25 clinicians

Practice addresses (Care Compare)

1105 Northwest Blvd
Bayou Bend General Surgery and Bariatric CL
Franklin, LA 70538-3409
Phone (337) 355-1232

200 Medical Dr
Franklin, LA 70538-4231
Phone (337) 828-5099

726 N Acadia Rd
Suite 1000
Thibodaux, LA 70301-5051
Phone (985) 625-2200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement34
Lower limb (leg) arthroscopy (minimally invasive joint repair)24
Upper limb (arm) arthroscopy (minimally invasive joint repair)63
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
026384LAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Service District No. 1 of the Parish of St. Mary CurrentSince May 4, 2020 Accepting new patients
Orthopaedic Sports Specialists of Louisiana LLC Orthopaedic Surgery CurrentSince Sep 22, 2012 Accepting new patients
Hospital Service District No. 1 of the Parish of St. Mary Orthopaedic Surgery CurrentSince May 4, 2020 Accepting new patients
Orthopaedic Sports Specialists of Louisiana, LLC Orthopaedic Surgery CurrentSince Sep 1, 2012 Accepting new patients

Locations

1029 Northwest Blvd
Franklin, LA 70538
Phone (337) 366-6004

1105 Northwest Blvd
Franklin, LA 70538
Phone (337) 828-9729

200 Medical Dr
Ste C
Franklin, LA 70538
Phone (337) 907-6102

180 Corporate Dr
Houma, LA 70360
Phone (985) 853-1390

141 Twin Oaks Dr
Raceland, LA 70394
Phone (985) 447-3889

604 N Acadia Rd
#508
Thibodaux, LA 70301

604 N Acadia Rd
Ste 508
Thibodaux, LA 70301
Phone (985) 492-1200

726 N Acadia Rd
Ste 1000
Thibodaux, LA 70301

Interoperability endpoints

  • Direct secure messaging: pellender@ortho-la.emadirect.md

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": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1841469681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703020028",
            "telephone_number": "985-492-1200",
            "fax_number": "985-492-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 N ACADIA RD",
            "address_2": "SUITE 1000",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703015009",
            "telephone_number": "985-625-2200",
            "fax_number": "985-625-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLENDER",
        "first_name": "PATRICK",
        "middle_name": "ROAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-26",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "026384",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "LA",
            "license": "026384",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1066044",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

Verify at the official NPI Registry.