Individual provider Active NPI

Carlie Blake Plessl, MD

  • Family Medicine Physician
  • Metairie, LA
National Provider Identifier
1861870982
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
307397 Issued in LA
Practice address
4228 Houma Blvd Ste 230
Metairie, LA 70006
Phone
(504) 503-6206
NPI assigned
May 8, 2015
Last updated
Jul 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 307397 LA Primary

Addresses

Primary practice location

4228 Houma Blvd Ste 230
Metairie, LA 70006

Mailing address

1415 Tulane Ave
New Orleans, LA 70112-2600
Phone (336) 848-3559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MA, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180814000999 LA Practitioner - Family Practice 8820372626 Reassigns benefits to 1 organization
I20201118002789 MA Practitioner - Family Practice 8820372626 Reassigns benefits to 1 organization
I20220131000030 FL Practitioner - Family Practice 8820372626 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
307397LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Aug 1, 2018 Accepting new patients
Steward Medical Group, Inc. Family Medicine CurrentSince Mar 25, 2022 Accepting new patients
Steward Medical Group, Inc CurrentSince Mar 25, 2022 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Aug 1, 2018 Accepting new patients
Cambridge Public Health Commission CurrentSince Aug 17, 2020 Accepting new patients
Stewart and Stewart a Medical Corporation Family Medicine Past Accepting new patients

Locations

3745 11th Cir
Ste 105
Vero Beach, FL 32960
Phone (772) 564-2485

4228 Houma Blvd
Ste 200
Metairie, LA 70006
Phone (504) 454-7878

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

1430 Tulane Ave
#8033
New Orleans, LA 70112
Phone (504) 988-4700

1440 Canal St
Ste 8422
New Orleans, LA 70112

1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185

103 Garland St
Everett, MA 02149
Phone (617) 381-7150

9 Galen St
Watertown, MA 02472
Phone (617) 562-5413

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, 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": "1431043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1861870982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 TULANE AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122600",
            "telephone_number": "336-848-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 HOUMA BLVD STE 230",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70006",
            "telephone_number": "504-503-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLESSL",
        "first_name": "CARLIE",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-08",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "307397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.