Individual provider Active NPI

Juan Jose Labadie

  • Specialist
  • Marrero, LA
National Provider Identifier
1972557676
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
04376R Issued in LA
Practice address
1111 Medical Center Blvd
Suite 250-South
Marrero, LA 70072-3151
Phone
(504) 349-6207
Fax
(504) 349-6272
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 04376R LA Primary

Addresses

Primary practice location

1111 Medical Center Blvd
Suite 250-South
Marrero, LA 70072-3151

Mailing address

1111 Medical Center Blvd
Suite 250-South
Marrero, LA 70072-3151
Phone (504) 349-6207

Other identifiers 1

IdentifierTypeStateIssuer
1189308MedicaidLA

Other names 1

  • Juan Belendez Labadie Former name

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
I20080318000211 LA Practitioner - Obstetrics/Gynecology 9830274117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.01 of 100Reported as group
Quality
80.35
Improvement activities
40
Cost
79.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04376RLAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
WJH Physician Services CurrentSince Jan 10, 2017 Accepting new patients
Administrators of the Tulane Educational Fund Specialist Past Accepting new patients
The Administrators of the Tulane Educational Fund Specialist Past Accepting new patients

Locations

1111 Medical Center Blvd
Ste S250
Marrero, LA 70072
Phone (504) 347-5511

1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511

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.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1972557676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "SUITE 250-SOUTH",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723151",
            "telephone_number": "504-349-6207",
            "fax_number": "504-349-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "SUITE 250-SOUTH",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723151",
            "telephone_number": "504-349-6207",
            "fax_number": "504-349-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABADIE",
        "first_name": "JUAN",
        "middle_name": "JOSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "04376R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1189308",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUAN",
            "last_name": "LABADIE",
            "middle_name": "BELENDEZ",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marrero, LA

Sources for this page

Verify at the official NPI Registry.