Individual provider Active NPI

Thomas J Orgeron, M.D.

  • General Practice Physician
  • Slidell, LA
National Provider Identifier
1922322940
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
205704 Issued in LA
Practice address
2104 Gause Blvd W
Ste. a
Slidell, LA 70460-4130
Phone
(985) 643-4575
Fax
(985) 643-4513
NPI assigned
Mar 19, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 23241 MS
General Practice Physician 208D00000X 32590 AL
General Practice Physician 208D00000X 8987 FL
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 205704 LA Primary

Addresses

Primary practice location

2104 Gause Blvd W
Ste. a
Slidell, LA 70460-4130

Mailing address

2104 Gause Blvd W
Ste a
Slidell, LA 70460-4130
Phone (985) 643-4575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130325000131 LA Practitioner - General Practice 2365687217 Reassigns benefits to 1 organization
I20140730001362 MS Practitioner - General Practice 2365687217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Louisiana State University School of Medicine in New Orleans, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
E. M. Dimitri, D.O. PMC.Group PAC ID 4284722059, 14 clinicians

Practice addresses (Care Compare)

151 Thames Ave
Bay Saint Louis, MS 39520-5002
Phone (228) 467-5644

2104 Gause Blvd W
Suite a
Slidell, LA 70460-4130
Phone (985) 643-4575

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision185
Removal of skin lesions1232
Removal of skin cancer83
Skin biopsy121

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32590ALMDGeneral Practice Physician
8987FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
E. M. Dimitri, D.O. PMC Multi-Specialty CurrentSince Jan 23, 2013 Accepting new patients
Dimitri Orgeron Medical, LLC Multi-Specialty PastSince May 14, 2013 Accepting new patients

Locations

14305 Highway 21 S
Ste F
Bogalusa, LA 70427

600 N Highway 190
Ste 201
Covington, LA 70433
Phone (985) 643-4512

1201 S Purpera Ave
Ste 601
Gonzales, LA 70737
Phone (504) 465-4550

145 Briant St
Gretna, LA 70056
Phone (504) 391-7540

3715 Williams Blvd
Ste 100
Kenner, LA 70065
Phone (504) 465-4550

3213 17th St
Ste 8
Metairie, LA 70002
Phone (504) 322-1104

5646 Read Blvd
Ste 230
New Orleans, LA 70127
Phone (504) 224-6588

2104 Gause Blvd W
Ste A
Slidell, LA 70460
Phone (985) 643-4512

2104 Gause Blvd W
#A
Slidell, LA 70460

2104 Gause Blvd W
Slidell, LA 70460
Phone (985) 643-4575

300 Gateway Dr
Slidell, LA 70461
Phone (985) 643-4512

151 Thames Ave
Bay St Louis, MS 39520
Phone (228) 467-1320

908 Municipal Dr
Brandon, MS 39042
Phone (601) 825-2150

1312 22nd Ave
Ste A
Meridian, MS 39301
Phone (504) 465-4550

4105 Hospital St
Ste 102
Pascagoula, MS 39581
Phone (228) 762-8946

Organizations & group practices 2

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": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1922322940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 GAUSE BLVD W",
            "address_2": "STE A",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704604130",
            "telephone_number": "985-643-4575",
            "fax_number": "985-643-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 GAUSE BLVD W",
            "address_2": "STE. A",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704604130",
            "telephone_number": "985-643-4575",
            "fax_number": "985-643-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORGERON",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-19",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MS",
            "license": "23241",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "32590",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "8987",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "LA",
            "license": "205704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.