NPIMap

Individual provider Active NPI

Marie Delvalle-Mahoney, M.D.

  • Internal Medicine Physician
  • Slidell, LA
National Provider Identifier
1972645786
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11216R Issued in LA
Practice address
1570 Lindberg Dr Ste 14
Slidell, LA 70458-8084
Phone
(985) 646-0945
Fax
(985) 643-8510
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 11216R LA Primary

Addresses

Primary practice location

1570 Lindberg Dr Ste 14
Slidell, LA 70458-8084

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 765-5727

Other practice location 1

70411 Highway 21
Covington, LA 70433-8243
Phone (985) 400-5566

Other practice location 2

433 Plaza St
Bogalusa, LA 70427-3729
Phone (985) 730-6700

Other practice location 3

420 Avenue F
Bogalusa, LA 70427-3634
Phone (985) 730-6970

Other identifiers 1

IdentifierTypeStateIssuer
1666386MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040129000184 LA Practitioner - Internal MedicinePractitioner - HospitalistPractitioner - Pediatric Medicine 8628973401 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Our Lady of the Lake Physician Group LLCGroup PAC ID 4587849781, 637 clinicians

Practice addresses (Care Compare)

1810 Lindberg Dr
Suite 1100
Slidell, LA 70458-8158
Phone (985) 646-0945

Hospital & facility affiliations

  • Southeast Louisiana Home Health, LLC Home health agency, Covington, LA, CCN 197023
  • SMH-Ochsner Home Health of Slidell Home health agency, Slidell, LA, CCN 197104
  • Elara Caring Home health agency, Hammond, LA, CCN 197778
  • Slidell Memorial Hospital Hospital, Slidell, LA, CCN 190040
  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036
  • St Tammany Parish Hospital Hospital, Covington, LA, CCN 190045
  • Highland Community Hospital Hospital, Picayune, MS, CCN 250117

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11216RLAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Tammany Parish Hospital Service District No 1 Internal Medicine CurrentSince Sep 1, 2016 Accepting new patients
Apogee Medical Group, Louisiana, Inc. CurrentSince Mar 15, 2009 Accepting new patients
Our Lady of the Lake Physician Group, LLC CurrentSince Dec 7, 2020 Accepting new patients
Our Lady of the Lake Physician Group LLC CurrentSince Dec 7, 2020 Accepting new patients
St. Tammany Parish Hospital Service District No 1 CurrentSince Sep 1, 2016 Accepting new patients
Our Lady of the Lake Physician Group LLC Internal Medicine Current Accepting new patients
Ochsner Clinic LLC Internal Medicine Past Accepting new patients
Our Lady of the Lake Physician Group LLC Past Accepting new patients

Locations

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

70411 Highway 21
Covington, LA 70433
Phone (985) 288-5088

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

1570 Lindberg Dr
Ste 14
Slidell, LA 70458
Phone (504) 319-9871

1810 Lindberg Dr
Ste 1100
Slidell, LA 70458
Phone (985) 646-0945

Organizations & group practices 9

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 9

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1972645786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-765-5727",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 LINDBERG DR STE 14",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588084",
            "telephone_number": "985-646-0945",
            "fax_number": "985-643-8510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70411 Highway 21",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704338243",
            "country_code": "US",
            "telephone_number": "985-400-5566",
            "fax_number": "985-400-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "433 Plaza St",
            "address_purpose": "LOCATION",
            "city": "Bogalusa",
            "state": "LA",
            "postal_code": "704273729",
            "country_code": "US",
            "telephone_number": "985-730-6700",
            "fax_number": "985-730-6713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 Avenue F",
            "address_purpose": "LOCATION",
            "city": "Bogalusa",
            "state": "LA",
            "postal_code": "704273634",
            "country_code": "US",
            "telephone_number": "985-730-6970",
            "fax_number": "985-730-6363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELVALLE-MAHONEY",
        "first_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "11216R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1666386",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.