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JUAN MEDAURA MD
NPI 1114217189
Internal Medicine - Nephrology in New Orleans, LA

Active since April 12, 2011PECOS EnrolledAccepts Medicare Assignment
96.9/100
CMS Quality Rating
3525 PRYTANIA ST STE 402, NEW ORLEANS, LA 70115(504) 648-2520(504) 897-2939 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 22, 2017, Sep 21, 2016, Sep 2, 2016 (3 updates tracked since 2016).

About Juan Medaura Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUAN MEDAURA MD (NPI 1114217189) is an individual nephrology provider in New Orleans, Louisiana, licensed in Louisiana (330645) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with West Jefferson Medical Center, and maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1114217189
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameJUAN MEDAURACredential: MD
Location Address3525 PRYTANIA ST STE 402New Orleans, LA 70115-3585
Mailing Address3600 Prytania St Ste 35New Orleans, LA 70115-3678 · (504) 897-8412 · Fax (504) 249-5311
Phone(504) 648-2520
Fax(504) 897-2939
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateApril 12, 2011
Last NPPES UpdateJune 1, 20223 updates tracked since enumeration
NPPES CertifiedJune 1, 2022
✔ NPI 1114217189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in LA · 330645✔ Licensed in MS · 24487
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3525 PRYTANIA ST STE 402, New Orleans, LA 70115
Open in Google Maps ↗

Secondary Practice Location 1

Location 12500 North STate Street, Division of NephrologyJackson, MS 39216-4500 · Phone (601) 984-5681 · Fax (601) 984-5165

Other Identifiers 3

Medicaid07624070MS
OtherP01788687MS · Railroad Medicare
Medicaid2582445LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Juan Medaura Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062706591
PECOS Enrollment IDI20220614000205
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
211 services45 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
119 services54 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
47 services38 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services24 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
22 services22 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
18 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

West Jefferson Medical Center

Acute Care Hospitals · Marrero, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190039
Location1101 Medical Center BlvdMarrero, LA 70072 · Jefferson County
Emergency services Birthing friendly

Touro Infirmary

Acute Care Hospitals · New Orleans, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190046
Location1401 Foucher StreetNew Orleans, LA 70115 · Orleans County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$98.35 typical visit price
range $17.42 – $138.03
Typical copayment $24.58 (range $4.35 – $34.50)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.77
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AIDA ORGERON FNP-C
Nurse Practitioner (Family)
3525 PRYTANIA ST STE 402
NEW ORLEANS, LA 70115
Orleans Parish (504) 648-2520
MELINA A ROMAN-GERARDINO MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3525 PRYTANIA ST STE 402
NEW ORLEANS, LA 70115
Orleans Parish (504) 648-2520

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juan Medaura's NPI number?

The NPI number for Juan Medaura is 1114217189. It was assigned to this individual provider in the NPPES registry on April 12, 2011.

Where is Juan Medaura located?

Juan Medaura practices at 3525 Prytania St Ste 402, New Orleans, LA 70115. The listed phone number is (504) 648-2520.

What is Juan Medaura's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Juan Medaura enrolled in Medicare?

Yes. Juan Medaura is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Juan Medaura accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Juan Medaura as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Juan Medaura affiliated with any hospitals?

According to CMS data, Juan Medaura is affiliated with West Jefferson Medical Center and Touro Infirmary.

When was this NPI record last updated?

The NPPES record for Juan Medaura was last updated on June 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.