Individual provider Active NPI

Jason Paul Amadeo, PA-C

  • Medical Physician Assistant
  • Jefferson, LA
National Provider Identifier
1992091557
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.200450 Issued in LA
Practice address
1201 S Clearview Pkwy
Jefferson, LA 70121-1015
Phone
(504) 736-4800
Fax
(504) 736-4810
NPI assigned
Jun 22, 2011
Last updated
Mar 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA.200450 LA Primary

Addresses

Primary practice location

1201 S Clearview Pkwy
Jefferson, LA 70121-1015

Mailing address

1201 S Clearview Pkwy
Jefferson, LA 70121-1015
Phone (504) 736-4800

Other identifiers 1

IdentifierTypeStateIssuer
2165607MedicaidLA

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110818000711 LA Practitioner - Physician Assistant 8820268337 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000

1516 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3470

71380 Hwy 21
Covington, LA 70433-7245
Phone (985) 661-3534

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.200450LAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Jul 6, 2022 Accepting new patients
Ochsner Clinic LLC CurrentSince Jul 6, 2022 Accepting new patients
Ochsner Clinic LLC Past Accepting new patients
A. Jay Binder, M.D., a Medical Corporation Past Accepting new patients

Locations

1201 S Clearview Pkwy
New Orleans, LA 70121
Phone (504) 736-4800

1221 S Clearview Pkwy
New Orleans, LA 70121
Phone (504) 736-4600

Interoperability endpoints

  • Direct secure messaging: jamadeo160138@direct.ochsner.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1992091557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S CLEARVIEW PKWY",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701211015",
            "telephone_number": "504-736-4800",
            "fax_number": "504-736-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S CLEARVIEW PKWY",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701211015",
            "telephone_number": "504-736-4800",
            "fax_number": "504-736-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMADEO",
        "first_name": "JASON",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-22",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "PA.200450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2165607",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, LA

Sources for this page

Verify at the official NPI Registry.