Individual provider Active NPI

Kevin Nicholas Harrell, MD

  • Surgical Critical Care Physician
  • Metairie, LA
National Provider Identifier
1902269764
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
338290 Issued in LA
Practice address
4200 Houma Blvd
Metairie, LA 70006-2996
Phone
(504) 503-4000
NPI assigned
Mar 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X DR.0068372 CO
Trauma Surgery Physician 2086S0127X 338290 LA
Surgical Critical Care Physician 2086S0102X 338290 LA Primary

Addresses

Primary practice location

4200 Houma Blvd
Metairie, LA 70006-2996

Mailing address

1430 Tulane Ave # 8622
New Orleans, LA 70112-2632

Other practice location 1

12631 E. 17th Ave.
Mail Stop C-921
Aurora, CO 80045
Phone (303) 724-2750

Other practice location 2

979 E 3rd St Ste B-401
Chattanooga, TN 37403-2136
Phone (423) 778-7695

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
I20230905003671 LA Practitioner - General Surgery 3375841778 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Emory University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1415 Tulane Ave
FL 6
New Orleans, LA 70112-2600
Phone (504) 988-5110

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0068372COMDSurgical Critical Care Physician
338290LAMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Sep 1, 2023 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Sep 1, 2023 Accepting new patients
Childrens Hospital Medical Practice Corporation CurrentSince Jan 8, 2024 Accepting new patients
University Medical Center Management Corporation Past Accepting new patients

Locations

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

141 Ormond Center Ct
Destrehan, LA 70047
Phone (985) 764-7337

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

4224 Houma Blvd
Ste 330
Metairie, LA 70006
Phone (504) 454-6338

3040 33rd St
Metairie, LA 70001
Phone (504) 219-0880

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

1430 Tulane Ave
#8622
New Orleans, LA 70112
Phone (504) 988-2306

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

2000 Canal St
Fl 3
New Orleans, LA 70112

1415 Tulane Ave
Fl 6
New Orleans, LA 70112
Phone (504) 988-5110

1430 Tulane Ave
#8050
New Orleans, LA 70112
Phone (504) 988-7808

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

Interoperability endpoints

  • Direct secure messaging: kna7499@yourcarecommunity.org

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 5

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": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1902269764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE # 8622",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 HOUMA BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062996",
            "telephone_number": "504-503-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12631 E. 17th Ave.",
            "address_2": "Mail Stop C-921",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "80045",
            "country_code": "US",
            "telephone_number": "303-724-2750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "979 E 3rd St Ste B-401",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374032136",
            "country_code": "US",
            "telephone_number": "423-778-7695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "KEVIN",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-30",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "CO",
            "license": "DR.0068372",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "LA",
            "license": "338290",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "LA",
            "license": "338290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.