Active NPI
Nick Moustoukas, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- New Orleans, LA
National Provider Identifier
1871564559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 015305
- Practice address
- 3715 Prytania St
Ste 400
New Orleans, LA 70115-3761 - Phone
- (504) 897-8276
- Fax
- (504) 897-8336
- NPI assigned
- Jan 30, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 015305 | LA | Primary |
Addresses
Primary practice location
3715 Prytania St
Ste 400
New Orleans, LA 70115-3761
Mailing address
3600 Prytania St
Suite 35
New Orleans, LA 70115-3628
Phone (504) 897-8315
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1355160 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uptown Cardiology Associates LLC | Past | Accepting new patients | |
| Cardio-Thoracic Surgery PA a Professional Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
| Crescent City Physicians, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
| Cardiothoracic Surgery, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/15912/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Lacombe, LA
- NPI 1437263472
-
- Surgery Physician
- Metairie, LA
- NPI 1689645392
-
- Family Medicine Physician
- New Orleans, LA
- NPI 1689722340
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Cardiovascular Disease Physician
- New Orleans, LA
- NPI 1912951104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339891200000",
"number": "1871564559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 PRYTANIA ST",
"address_2": "SUITE 35",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701153628",
"telephone_number": "504-897-8315",
"fax_number": "504-891-9862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3715 PRYTANIA ST",
"address_2": "STE 400",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701153761",
"telephone_number": "504-897-8276",
"fax_number": "504-897-8336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUSTOUKAS",
"first_name": "NICK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2012-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "LA",
"license": "015305",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1355160",
"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 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.