Individual provider Active NPI

Keith C. Ferdinand, M.D.

  • Cardiovascular Disease Physician
  • New Orleans, LA
National Provider Identifier
1851398622
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD.013565 Issued in LA
Practice address
1020 Saint Andrew St
New Orleans, LA 70130-5022
Phone
(504) 529-5558
Fax
(504) 525-3235
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 013565 LA
Cardiovascular Disease Physician 207RC0000X MD.013565 LA Primary

Addresses

Primary practice location

1020 Saint Andrew St
New Orleans, LA 70130-5022

Mailing address

1020 Saint Andrew St
New Orleans, LA 70130-5022
Phone (504) 529-5558

Other identifiers 1

IdentifierTypeStateIssuer
1166057MedicaidLA

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
I20041026000105 LA Practitioner - Cardiovascular Disease (Cardiology) 3375504038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Howard University College of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Administrators of the Tulane Educational FundGroup PAC ID 0446163760, 388 clinicians

Practice addresses (Care Compare)

1415 Tulane Ave
New Orleans, LA 70112-2600
Phone (504) 988-5800

Hospital & facility affiliations

  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176
  • New Orleans East Hospital Hospital, New Orleans, LA, CCN 190313

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13565LAMDClinical Social Worker
013565LAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund Specialist CurrentSince Mar 13, 2012 Accepting new patients
Administrators of the Tulane Educational Fund Specialist CurrentSince Mar 13, 2012 Accepting new patients

Locations

4228 Houma Blvd
Ste 510
Metairie, LA 70006
Phone (504) 454-0141

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

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

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

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

1020 Saint Andrew St
New Orleans, LA 70130

1415 Tulane Ave
#48
New Orleans, LA 70112
Phone (504) 988-5152

1936 Magazine St
New Orleans, LA 70130

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
New Orleans East HospitalNew Orleans, LA, CCN 190313 Hospital Other Jul 12, 2011

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1851398622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SAINT ANDREW ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701305022",
            "telephone_number": "504-529-5558",
            "fax_number": "504-525-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SAINT ANDREW ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701305022",
            "telephone_number": "504-529-5558",
            "fax_number": "504-525-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERDINAND",
        "first_name": "KEITH",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "013565",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "MD.013565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1166057",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.