Organization Active NPI

East Jefferson Physicians Group LLC

  • Internal Medicine Physician
  • New Orleans, LA
National Provider Identifier
1922293372
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EAST JEFFERSON PHYSICIANS GROUP LLC
Practice address
LCMC Payor Enrollment
1100 Poydras St, Suite 2500
New Orleans, LA 70163-1101
Phone
(504) 527-9953
Fax
(504) 527-9950
NPI assigned
Sep 10, 2007
Last updated
May 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
Michele Beaupre
Title
Director
Phone
(504) 503-6783

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary
Neurology Physician 2084N0400X

Addresses

Primary practice location

LCMC Payor Enrollment
1100 Poydras St, Suite 2500
New Orleans, LA 70163-1101

Mailing address

LCMC Payor Enrollment
1100 Poydras St, Suite 2500
New Orleans, LA 70163-1101
Phone (504) 527-9953

Other identifiers 2

IdentifierTypeStateIssuer
1337951MedicaidLA
DF2307OtherLARAILROAD MEDICARE

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090127000299 LA Part B Supplier - Clinic/Group Practice 4587660402 Receives reassigned benefits from 328 practitioners
1 other NPI on this enrollment
Practice locations: Metairie, LA; Baton Rouge, LA; River Ridge, LA; Slidell, LA; Thibodaux, LA; Bogalusa, LA; Covington, LA; Greensburg, LA…
O20230323000812 MS Part B Supplier - Clinic/Group Practice 4587660402 Receives reassigned benefits from 4 practitioners
Practice locations: Bay St Louis, MS; Ocean Springs, MS; Picayune, MS

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations (25 of 40)

5000 Hennessy Blvd
Fl 1
Baton Rouge, LA 70808
Phone (225) 765-4050

225 Memphis St
Bogalusa, LA 70427
Phone (504) 732-3677

130 Lakeview Cir
Covington, LA 70433
Phone (985) 892-6858

71192 Highway 21
Covington, LA 70433

159 Longview Dr
Ste C
Destrehan, LA 70047
Phone (985) 652-9504

807 Riverside Dr
Franklinton, LA 70438
Phone (985) 795-4122

3555 Loyola Dr
Apt D
Kenner, LA 70065
Phone (504) 464-8750

3100 Galleria Dr
Ste 303
Metairie, LA 70001
Phone (504) 456-5108

3601 Houma Blvd
Ste 300
Metairie, LA 70006
Phone (504) 459-3513

4200 Houma Blvd
#2
Metairie, LA 70006
Phone (504) 454-5225

4200 Houma Blvd
#4
Metairie, LA 70006

4200 Houma Blvd
#5
Metairie, LA 70006

4200 Houma Blvd
#7
Metairie, LA 70006

4200 Houma Blvd
Fl 2
Metairie, LA 70006
Phone (504) 454-4102

4200 Houma Blvd
Fl 4
Metairie, LA 70006
Phone (504) 503-4900

4200 Houma Blvd
Fl 7
Metairie, LA 70006
Phone (504) 503-4331

4204 Houma Blvd
Ste 2
Metairie, LA 70006
Phone (504) 503-5426

4204 Houma Blvd
Ste 2ND
Metairie, LA 70006

4224 Houma Blvd
Ste 105
Metairie, LA 70006

4224 Houma Blvd
Ste 520
Metairie, LA 70006
Phone (504) 885-4003

4224 Houma Blvd
Ste 550
Metairie, LA 70006
Phone (504) 454-5213

4228 Houma Blvd
#130E
Metairie, LA 70006
Phone (504) 883-3731

4228 Houma Blvd
#3
Metairie, LA 70006

4228 Houma Blvd
Ste 130
Metairie, LA 70006
Phone (504) 454-2222

4228 Houma Blvd
Ste 200
Metairie, LA 70006
Phone (504) 454-7878

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 377

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 377

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1922293372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LCMC PAYOR ENROLLMENT",
            "address_2": "1100 POYDRAS ST, SUITE 2500",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701631101",
            "telephone_number": "504-527-9953",
            "fax_number": "504-527-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LCMC PAYOR ENROLLMENT",
            "address_2": "1100 POYDRAS ST, SUITE 2500",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701631101",
            "telephone_number": "504-527-9953",
            "fax_number": "504-527-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST JEFFERSON PHYSICIANS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "BEAUPRE",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "504-503-6783"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1337951",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF2307",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.