Individual provider Active NPI

Keith Kappel, MD

  • Pediatrics Physician
  • Metairie, LA
National Provider Identifier
1851395537
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
016640 Issued in LA
Practice address
4740 S I 10 Service Rd W
Metairie, LA 70001-1234
Phone
(504) 883-3703
Fax
(504) 883-3704
NPI assigned
Jun 9, 2005
Last updated
Jan 19, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 016640 LA Primary

Addresses

Primary practice location

4740 S I 10 Service Rd W
Metairie, LA 70001-1234

Mailing address

298 Henry Clay Ave
New Orleans, LA 70118-5720
Phone (504) 896-9827

Other identifiers 1

IdentifierTypeStateIssuer
1349216MedicaidLA

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
I20190117003182 LA Practitioner - Pediatric Medicine 1658617279 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16640LAMDCase Manager/Care Coordinator
016640LAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Hospital Medical Practice Corporation Pediatrics CurrentSince Jul 7, 2018 Accepting new patients
Children's Hospital Pediatrics Past Accepting new patients

Locations

4740 S I 10 Service Rd W
Metairie, LA 70001
Phone (504) 883-3703

4740 S I 10 Service Rd W
Fl 2
Metairie, LA 70001
Phone (504) 883-3703

4845 Veterans Memorial Blvd
Metairie, LA 70006

3040 33rd St
Metairie, LA 70001
Phone (504) 219-0880

298 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 896-9827

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1851395537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 HENRY CLAY AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701185720",
            "telephone_number": "504-896-9827",
            "fax_number": "504-894-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 S I 10 SERVICE RD W",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011234",
            "telephone_number": "504-883-3703",
            "fax_number": "504-883-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPPEL",
        "first_name": "KEITH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "016640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1349216",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.