Active NPI
Thomas J Orgeron, M.D.
- General Practice Physician
- Slidell, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 205704
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 23241 | MS | |
| General Practice Physician | 208D00000X | 32590 | AL | |
| General Practice Physician | 208D00000X | 8987 | FL | |
| General Practice Physician | 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, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 185 |
| Removal of skin lesions | 1232 |
| Removal of skin cancer | 83 |
| Skin biopsy | 121 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32590 | AL | MD | General Practice Physician |
| 8987 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| E. M. Dimitri, D.O. PMC | Multi-Specialty | Current | Accepting new patients |
| Dimitri Orgeron Medical, LLC | Multi-Specialty | Past | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.