Individual provider Active NPI

Nassir F. Marrouche, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • New Orleans, LA
National Provider Identifier
1881708295
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
320547 Issued in LA
Practice address
1415 Tulane Ave FL 4
New Orleans, LA 70112
Phone
(504) 988-6113
Fax
(504) 988-7795
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5802748-1205 UT
Cardiovascular Disease Physician 207RC0000X 5802748-1205 UT
Cardiovascular Disease Physician 207RC0000X 320547 LA
Clinical Cardiac Electrophysiology Physician 207RC0001X 320547 LA Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X 5802748-1205 UT

Addresses

Primary practice location

1415 Tulane Ave FL 4
New Orleans, LA 70112

Mailing address

1430 Tulane Ave # 8648
New Orleans, LA 70112-2632
Phone (504) 988-1774

Other practice location 1

50 N Medical Dr
Salt Lake City, UT 84132-0100
Phone (801) 585-7676

Other practice location 2

50 N Medical Dr
Salt Lake City, UT 84132-0100
Phone (801) 585-7676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, LA, MS3 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
I20061031000073 UT Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2860499191 Reassigns benefits to 1 organization
I20190924002689 LA Practitioner - Cardiac Electrophysiology 2860499191 Reassigns benefits to 2 organizations
I20240819001399 MS Practitioner - Cardiac Electrophysiology 2860499191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crescent City Physicians IncGroup PAC ID 2769370543, 158 clinicians

Practice addresses (Care Compare)

2820 Canal St
New Orleans, LA 70119-6302
Phone (504) 821-8158

4720 S I 10 Service Rd W
Metairie, LA 70001-7404
Phone (504) 988-8070

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5802748-1205UTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital at Gulfport CurrentSince Jul 15, 2024 Accepting new patients
Crescent City Physicians, Inc. Internal Medicine CurrentSince Oct 1, 2022 Accepting new patients
Memorial Hospital at Gulfport Current Accepting new patients
University of Utah Adult Services CurrentSince Feb 1, 2015 Accepting new patients
University of Utah Community Physicians Group Current Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Sep 1, 2019 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Sep 1, 2019 Accepting new patients
University of Utah Adult Services Current Accepting new patients
Memorial Hospital at Gulfport Cardiovascular Disease CurrentSince Jul 15, 2024 Accepting new patients
University of Utah Adult Services CurrentSince Feb 1, 2015 Accepting new patients

Locations

1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511

4720 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-4583

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

4228 Houma Blvd
Ste 510
Metairie, LA 70006
Phone (504) 454-0141

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

1430 Tulane Ave
#T
New Orleans, LA 70112

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

100 W Harrison Ave
Ste 101
New Orleans, LA 70124
Phone (504) 325-2929

3715 Prytania St
Ste 400
New Orleans, LA 70115
Phone (504) 897-8276

1415 Tulane Ave
Fl 4
New Orleans, LA 70112
Phone (504) 988-5263

1430 Tulane Ave
#8648
New Orleans, LA 70112

2820 Canal St
New Orleans, LA 70119
Phone (504) 821-8158

2633 Napoleon Ave
Ste 500
New Orleans, LA 70115
Phone (504) 897-9686

3600 Prytania St
Ste 35
New Orleans, LA 70115
Phone (504) 897-7197

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

1408 44th Ave
Gulfport, MS 39501
Phone (228) 575-1777

1525 W 2100 S
Salt Lake City, UT 84119
Phone (801) 213-8841

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Organizations & group practices 10

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 6

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1881708295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE # 8648",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-1774",
            "fax_number": "504-988-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 TULANE AVE FL 4",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70112",
            "telephone_number": "504-988-6113",
            "fax_number": "504-988-7795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 N Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841320100",
            "country_code": "US",
            "telephone_number": "801-585-7676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 N Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841320100",
            "country_code": "US",
            "telephone_number": "801-585-7676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARROUCHE",
        "first_name": "NASSIR",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "5802748-1205",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "UT",
            "license": "5802748-1205",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "320547",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "LA",
            "license": "320547",
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "UT",
            "license": "5802748-1205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.