Individual provider Active NPI

Anthony Morales Jr., M.D.

  • Interventional Cardiology Physician
  • Slidell, LA
National Provider Identifier
1871576215
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD.016251 Issued in LA
Practice address
2360 Gause Blvd E
Slidell, LA 70461-4141
Phone
(985) 641-7283
Fax
(985) 641-7207
NPI assigned
Nov 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X C050097 CA
Interventional Cardiology Physician 207RI0011X 11156 MS
Interventional Cardiology Physician 207RI0011X MD.016251 LA Primary

Addresses

Primary practice location

2360 Gause Blvd E
Slidell, LA 70461-4141

Mailing address

2360 Gause Blvd E
Slidell, LA 70461-4141
Phone (985) 641-7283

Other practice location 1

433 Plaza St Ste 514
Bogalusa, LA 70427-3729
Phone (985) 730-7023

Other practice location 2

849 Highway 90
Bay St Louis, MS 39520-1600
Phone (985) 641-7283

Other practice location 3

12 Medical Plaza Blvd
Picayune, MS 39466-9197
Phone (985) 641-7283

Other identifiers 2

IdentifierTypeStateIssuer
1358711MedicaidLA
00016656MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20100415000498 LA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8325043508 Reassigns benefits to 1 organization
I20130425000257 MS Practitioner - Cardiovascular Disease (Cardiology) 8325043508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12 Medical Plaza Blvd
Suite a
Picayune, MS 39466-9197
Phone (985) 641-7283

2360 Gause Blvd E
Suite E
Slidell, LA 70461-4141
Phone (985) 641-7283

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16251LAMDClinical Social Worker
C050097CAMDSpecialist
MD.016251LAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Jefferson Physicians Group LLC CurrentSince Mar 1, 2023 Accepting new patients
Tchefuncte Cardiology Associates - Lakeview, LLC PastSince Feb 22, 2018 Accepting new patients
Metairie Physician Services Inc. Past Accepting new patients
Northshore Cardiovascular Associates LLC PastSince Mar 17, 2006 Accepting new patients

Locations

101 Judge Tanner Blvd
Ste 106
Covington, LA 70433
Phone (985) 867-2128

4228 Houma Blvd
Ste 530
Metairie, LA 70006
Phone (504) 456-8415

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

2360 Gause Blvd E
Ste E
Slidell, LA 70461
Phone (985) 641-7283

2360 Gause Blvd E
Slidell, LA 70461
Phone (504) 641-7283

849 Highway 90
Bay St Louis, MS 39520
Phone (228) 467-8422

12 Medical Plaza Blvd
#A
Picayune, MS 39466
Phone (985) 641-7283

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.

Hospital & facility affiliations 1

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1871576215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 GAUSE BLVD E",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614141",
            "telephone_number": "985-641-7283",
            "fax_number": "985-641-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 GAUSE BLVD E",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614141",
            "telephone_number": "985-641-7283",
            "fax_number": "985-641-7207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 Plaza St Ste 514",
            "address_purpose": "LOCATION",
            "city": "Bogalusa",
            "state": "LA",
            "postal_code": "704273729",
            "country_code": "US",
            "telephone_number": "985-730-7023",
            "fax_number": "985-730-7024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "849 Highway 90",
            "address_purpose": "LOCATION",
            "city": "Bay St Louis",
            "state": "MS",
            "postal_code": "395201600",
            "country_code": "US",
            "telephone_number": "985-641-7283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 Medical Plaza Blvd",
            "address_purpose": "LOCATION",
            "city": "Picayune",
            "state": "MS",
            "postal_code": "394669197",
            "country_code": "US",
            "telephone_number": "985-641-7283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORALES",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "C050097",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MS",
            "license": "11156",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "LA",
            "license": "MD.016251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1358711",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00016656",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.