Organization Active NPI

Ambulatory Medical Group

  • Multi-Specialty Clinic/Center
  • New Orleans, LA
National Provider Identifier
1871265694
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
AMBULATORY MEDICAL GROUP
Practice address
5646 Read Blvd Ste 380
New Orleans, LA 70127-3148
Phone
(504) 518-5822
Fax
(504) 518-6378
NPI assigned
Sep 30, 2021
Last updated
Sep 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Authorized official

Name
Ronald C McLendon Jr., MDNPI 1013151091
Title
Owner
Phone
(504) 615-5981

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

5646 Read Blvd Ste 380
New Orleans, LA 70127-3148

Mailing address

1500 Lafayette St Ste 141
Gretna, LA 70053-5758
Phone (504) 510-5511

Other practice location 1

4023 Behrman Place
Ste M1
New Orleans, LA 70114
Phone (504) 827-1888

Other practice location 2

306 W Judge Perez Dr
Chalmette, LA 70043-4904
Phone (504) 518-5822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220304000082 LA Part B Supplier - Clinic/Group Practice 4789078957 Receives reassigned benefits from 5 practitioners
Practice locations: New Orleans, LA; Chalmette, LA

National Provider Directory

National Provider Directory

Locations

306 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 309-6270

5646 Read Blvd
Ste 380
New Orleans, LA 70127
Phone (504) 518-5822

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1871265694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 LAFAYETTE ST STE 141",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700535758",
            "telephone_number": "504-510-5511",
            "fax_number": "504-518-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5646 READ BLVD STE 380",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701273148",
            "telephone_number": "504-518-5822",
            "fax_number": "504-518-6378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4023 Behrman Place",
            "address_2": "Ste M1",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "70114",
            "country_code": "US",
            "telephone_number": "504-827-1888",
            "fax_number": "504-518-6378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "306 W Judge Perez Dr",
            "address_purpose": "LOCATION",
            "city": "Chalmette",
            "state": "LA",
            "postal_code": "700434904",
            "country_code": "US",
            "telephone_number": "504-518-5822",
            "fax_number": "504-518-6378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMBULATORY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "MCLENDON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-615-5981",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.