Active NPI
Andrej Pogribny, MD
- Pediatric Emergency Medicine (Pediatrics) Physician
- New Orleans, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- License
- 332699
- Practice address
- 200 Henry Clay Ave
New Orleans, LA 70118-5798 - Phone
- (504) 899-9511
- NPI assigned
- Apr 15, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | 332699 | LA | Primary |
| Emergency Medicine Physician | 207P00000X | MD60941727 | WA |
Addresses
Primary practice location
200 Henry Clay Ave
New Orleans, LA 70118-5798
Mailing address
200 Henry Clay Ave
New Orleans, LA 70118-5798
Phone (504) 899-9511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2362267 | Medicaid | LA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 332699 | LA | MD | Pediatric Emergency Medicine (Pediatrics) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital | Current | Accepting new patients | |
| Children'S Hospital | Emergency Medicine | Current | Accepting new patients |
| Louisiana State University School of Medicine in New Orleans Faculty | Emergency Medicine | Current | Accepting new patients |
| New Orleans Physician Services Inc | Emergency Medicine | Current | Accepting new patients |
| Childrens Hospital Medical Practice Corporation | Pediatrics | Current | Accepting new patients |
| WJH Physician Services | Emergency Medicine | Current | Accepting new patients |
Locations
141 Ormond Center Ct
Destrehan, LA 70047
Phone (985) 764-7337
1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511
1111 Medical Center Blvd
Ste S250
Marrero, LA 70072
Phone (504) 347-5511
3040 33rd St
Metairie, LA 70001
Phone (504) 219-0880
4545 Veterans Memorial Blvd
Metairie, LA 70006
Phone (504) 896-9822
2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287
200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860
Organizations & group practices 6
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.
-
- Pediatrics Physician
- New Orleans, LA
- NPI 1821090713
-
- Emergency Medicine Physician
- New Orleans, LA
- NPI 1275984973
-
- Internal Medicine Physician
- Marrero, LA
- NPI 1396169678
Emergency Medicine
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- New Orleans, LA
- NPI 1568597649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1851710214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HENRY CLAY AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701185798",
"telephone_number": "504-899-9511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HENRY CLAY AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701185798",
"telephone_number": "504-899-9511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POGRIBNY",
"first_name": "ANDREJ",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-15",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "LA",
"license": "332699",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "MD60941727",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2362267",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.