Active NPI
East Jefferson Physicians Group LLC
- Internal Medicine Physician
- New Orleans, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1337951 | Medicaid | LA | |
| DF2307 | Other | LA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, MS
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Urgent Care Clinic/Center
- Kenner, LA
- NPI 1053859082
O20090127000299
National Provider Directory
National Provider DirectoryMember 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.
-
- Urgent Care Clinic/Center
- Kenner, LA
- NPI 1053859082
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.
-
- Family Medicine Physician
- Metairie, LA
- NPI 1912562489
-
- Internal Medicine Physician
- Metairie, LA
- NPI 1427036656
-
- Interventional Cardiology Physician
- Covington, LA
- NPI 1689671232
Internal Medicine
-
- Family Medicine Physician
- Metairie, LA
- NPI 1528266509
-
- Acute Care Nurse Practitioner
- New Orleans, LA
- NPI 1780252429
-
- Interventional Cardiology Physician
- Metairie, LA
- NPI 1740656099
Internal Medicine
-
- Obstetrics & Gynecology Physician
- Covington, LA
- NPI 1538628730
-
- Acute Care Nurse Practitioner
- New Orleans, LA
- NPI 1760152490
-
- Hospitalist Physician
- Metairie, LA
- NPI 1871852301
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.