Individual provider Active NPI

Daniel Kristian Garrett, M.D.

  • Internal Medicine Physician
  • New Orleans, LA
National Provider Identifier
1891987111
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
199988 Issued in LA
Practice address
1430 Tulane Ave # 8078
New Orleans, LA 70112-2632
Phone
(504) 988-1236
Fax
(504) 988-5483
NPI assigned
Aug 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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 25216 NE
Hematology & Oncology Physician 207RH0003X 19988 LA
Pediatrics Physician 208000000X 199988 LA
Pediatrics Physician 208000000X 25216 NE
Internal Medicine Physician 207R00000X 199988 LA Primary

Addresses

Primary practice location

1430 Tulane Ave # 8078
New Orleans, LA 70112-2632

Mailing address

1430 Tulane Ave # 8078
New Orleans, LA 70112-2632
Phone (504) 988-1236

Other identifiers 1

IdentifierTypeStateIssuer
10025121400MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20071120000276 LA Practitioner - Internal MedicinePractitioner - Hematology/Oncology 7315035664 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
199988LAMDInternal Medicine Physician
19988LAMDHematology & Oncology Physician
25216NEMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Jun 1, 2020 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Jun 1, 2020 Accepting new patients
Teladoc Health Medical Group, P.a. Internal Medicine Current Accepting new patients
Lakeside Physician Associates, LLC Past Accepting new patients

Locations

4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453

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

1430 Tulane Ave
#8078
New Orleans, LA 70112
Phone (504) 988-1236

150 S Liberty St
New Orleans, LA 70112
Phone (504) 988-6300

Interoperability endpoints

  • Direct secure messaging: danielgarrett@tdh.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1891987111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE # 8078",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-1236",
            "fax_number": "504-988-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE # 8078",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-1236",
            "fax_number": "504-988-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "DANIEL",
        "middle_name": "KRISTIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-10",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "25216",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "LA",
            "license": "19988",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "199988",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NE",
            "license": "25216",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "199988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025121400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.