Active NPI
David J Cuccia, M.D.
- Internal Medicine Physician
- Covington, LA
National Provider Identifier
1912080144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 024908
- Practice address
- 80 Gardenia Drive
Suite B
Covington, LA 70433 - Phone
- (985) 871-5900
- Fax
- (985) 871-5911
- NPI assigned
- Oct 23, 2006
- Last updated
- Dec 23, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MS19412 | MS | |
| Internal Medicine Physician | 207R00000X | 024908 | LA | Primary |
Addresses
Primary practice location
80 Gardenia Drive
Suite B
Covington, LA 70433
Mailing address
80 Gardenia Drive
Suite B
Covington, LA 70433
Phone (985) 871-5900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 646000515E | Other | MS | BLUE CROSS OF MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2013 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024908 | LA | MD | Internal Medicine Physician |
| MS19412 | MS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northshore Hospitalists, LLC | Internal Medicine | Past | Accepting new patients |
| Robert D Lesser MD & Associates | Past | Accepting new patients | |
| Slidell Memorial Hospital | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Slidell, LA
- NPI 1609918424
-
- Medical Specialty Clinic/Center
- New Orleans, LA
- NPI 1730233883
-
dba Hospitalist Billing of SMH
- Hospitalist Physician
- Slidell, LA
- NPI 1831340553
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261526400000",
"number": "1912080144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 GARDENIA DRIVE",
"address_2": "SUITE B",
"city": "COVINGTON",
"state": "LA",
"postal_code": "70433",
"telephone_number": "985-871-5900",
"fax_number": "985-871-5911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 GARDENIA DRIVE",
"address_2": "SUITE B",
"city": "COVINGTON",
"state": "LA",
"postal_code": "70433",
"telephone_number": "985-871-5900",
"fax_number": "985-871-5911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUCCIA",
"first_name": "DAVID",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2009-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "MS19412",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "024908",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF MS",
"identifier": "646000515E",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.