Individual provider Active NPI

Louise Gautreaux, MD

  • Obstetrics & Gynecology Physician
  • Kenner, LA
National Provider Identifier
1962442285
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
10500R Issued in LA
Practice address
3555 Loyola Dr Apt a
Kenner, LA 70065-7706
Phone
(504) 464-7729
Fax
(504) 464-6343
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 10500R LA
Obstetrics & Gynecology Physician 207V00000X 10500R LA Primary

Addresses

Primary practice location

3555 Loyola Dr Apt a
Kenner, LA 70065-7706

Mailing address

4300 Houma Blvd Ste 204
Metairie, LA 70006-2924
Phone (504) 503-6791

Other identifiers 1

IdentifierTypeStateIssuer
1490687MedicaidLA

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
I20100922000144 LA Practitioner - Obstetrics/Gynecology 4082730510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in New Orleans, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Jefferson Physicians Group LLCGroup PAC ID 4587660402, 211 clinicians

Practice addresses (Care Compare)

4228 Houma Blvd
Suite 410
Metairie, LA 70006-3021
Phone (504) 883-3770

Hospital & facility affiliations

  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176
  • Ochsner Medical Center-Kenner Hospital, Kenner, LA, CCN 190274
  • St Charles Parish Hospital Hospital, Luling, LA, CCN 190079
  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10500RLAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Jefferson Physicians Group LLC CurrentSince Sep 26, 2021 Accepting new patients
Louise Gautreaux Collins MD LLC Specialist Current Accepting new patients
University Healthcare System, L.C. Past Accepting new patients

Locations

3555 Loyola Dr
Apt A
Kenner, LA 70065
Phone (504) 464-7729

231 W Esplanade Ave
Ste B
Kenner, LA 70065
Phone (504) 459-4070

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

4300 Houma Blvd
Ste 202
Metairie, LA 70006
Phone (504) 503-6791

4300 Houma Blvd
Ste 204
Metairie, LA 70006
Phone (504) 503-6791

4228 Houma Blvd
Ste 410
Metairie, LA 70006
Phone (504) 454-0606

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

Interoperability endpoints

  • Direct secure messaging: louise.gautreaux@direct.ejgh.org

Organizations & group practices 3

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 7

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1962442285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 HOUMA BLVD STE 204",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062924",
            "telephone_number": "504-503-6791",
            "fax_number": "504-503-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 LOYOLA DR APT A",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700657706",
            "telephone_number": "504-464-7729",
            "fax_number": "504-464-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUTREAUX",
        "first_name": "LOUISE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "10500R",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "10500R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1490687",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

Verify at the official NPI Registry.