Individual provider Active NPI

Trent Davidge

  • Internal Medicine Physician
  • New Orleans, LA
National Provider Identifier
1972122711
Registry record updated May 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
335837 Issued in LA
Practice address
1542 Tulane Ave Ste 436
New Orleans, LA 70112-2865
Phone
(504) 568-5600
NPI assigned
Apr 12, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 335837 LA Primary

Addresses

Primary practice location

1542 Tulane Ave Ste 436
New Orleans, LA 70112-2865

Mailing address

1542 Tulane Ave Ste 436
New Orleans, LA 70112-2865

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
I20230701000381 LA Practitioner - Internal Medicine 0840601712 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crescent City Physicians IncGroup PAC ID 2769370543, 158 clinicians

Practice addresses (Care Compare)

3700 Saint Charles Ave
FL 4
New Orleans, LA 70115-4637
Phone (504) 897-7007

Hospital & facility affiliations

  • Touro Infirmary Hospital, New Orleans, LA, CCN 190046
  • University Medical Center New Orleans Hospital, New Orleans, LA, CCN 190005

Merit-based Incentive Payment System (MIPS)

Final score
76.25 of 100Reported as group
Quality
71.6
Improvement activities
40
Cost
72.89

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Crescent City Physicians, Inc. Internal Medicine CurrentSince Sep 1, 2023 Accepting new patients
Rapid Urgent Care, Inc Current Accepting new patients
Rapid Urgent Care, Inc. CurrentSince May 25, 2023 Accepting new patients
Rapid Urgent Care, Inc CurrentSince May 25, 2023 Accepting new patients
Rapid Urgent Care, Inc. Current Accepting new patients

Locations

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

1111 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 249-5600

3600 Prytania St
Ste 35
New Orleans, LA 70115
Phone (504) 897-7197

100 W Harrison Ave
Ste 101
New Orleans, LA 70124
Phone (504) 325-2929

1401 Foucher St
Fl 2
New Orleans, LA 70115
Phone (504) 210-4472

3700 Saint Charles Ave
Fl 4
New Orleans, LA 70115
Phone (504) 412-1444

Organizations & group practices 5

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 3

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": "1586649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683936000000",
    "number": "1972122711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 TULANE AVE STE 436",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 TULANE AVE STE 436",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122865",
            "telephone_number": "504-568-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDGE",
        "first_name": "TRENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-12",
        "last_updated": "2023-05-13",
        "certification_date": "2023-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "335837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.