Individual provider Active NPI

Dietric Lonell Hennings, MD

  • Student in an Organized Health Care Education/Training Program
  • New Orleans, LA
National Provider Identifier
1942560198
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1430 Tulane Ave
SL-22
New Orleans, LA 70112-2632
Phone
(504) 988-1874
NPI assigned
May 22, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

1430 Tulane Ave
SL-22
New Orleans, LA 70112-2632

Mailing address

1430 Tulane Ave
SL-22
New Orleans, LA 70112-2632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190906000180 LA Practitioner - General Surgery 8022384130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Washington School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1415 Tulane Ave
FL 6
New Orleans, LA 70112-2600
Phone (504) 988-5110

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux17

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Jul 1, 2019 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Jul 1, 2019 Accepting new patients
Tulane University Medical Group Past Accepting new patients
University Healthcare System, L.C. Past Accepting new patients

Locations

4720 S I 10 Service Rd W
Ste 501
Metairie, LA 70001
Phone (504) 456-6701

4224 Houma Blvd
Ste 330
Metairie, LA 70006
Phone (504) 454-6338

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

1415 Tulane Ave
Fl 6
New Orleans, LA 70112
Phone (504) 988-5110

1430 Tulane Ave
New Orleans, LA 70112
Phone (504) 585-6485

1415 Tulane Ave
#6
New Orleans, LA 70112
Phone (504) 988-8050

1430 Tulane Ave
#22
New Orleans, LA 70112

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCFJBA

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337644800000",
    "number": "1942560198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE",
            "address_2": "SL-22",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE",
            "address_2": "SL-22",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNINGS",
        "first_name": "DIETRIC",
        "middle_name": "LONELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.