MEDICAL PLAZA ENT PHYSICIANS
NPI 1124283163
Otolaryngology in Metairie, LA
About Medical Plaza Ent Physicians NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDICAL PLAZA ENT PHYSICIANS (NPI 1124283163) is a healthcare organization registered as an otolaryngology in Metairie, Louisiana and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through September 16, 2028 and lists Glenda Dantin, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Medical Plaza Ent Physicians is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Medical Plaza Ent Physicians, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 19D2193036
Medical Plaza Ent Physicians · Metairie, LAFrequently 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 Medical Plaza Ent Physicians A Professional Medical Corp's NPI number?
The NPI number for Medical Plaza Ent Physicians A Professional Medical Corp is 1124283163. It was assigned to this organization in the NPPES registry on July 18, 2008. The provider is doing business as Medical Plaza Ent Physicians.
Where is Medical Plaza Ent Physicians A Professional Medical Corp located?
Medical Plaza Ent Physicians A Professional Medical Corp is located at 4228 Houma Blvd Suite 110, Metairie, LA 70006. The listed phone number is (504) 455-3434.
What is Medical Plaza Ent Physicians A Professional Medical Corp's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Medical Plaza Ent Physicians A Professional Medical Corp enrolled in Medicare?
Yes. Medical Plaza Ent Physicians A Professional Medical Corp is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Medical Plaza Ent Physicians A Professional Medical Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Medical Plaza Ent Physicians A Professional Medical Corp, in Otolaryngology and Qualified Audiologist. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Medical Plaza Ent Physicians A Professional Medical Corp hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 19D2193036) is associated with this NPI, valid through September 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Medical Plaza Ent Physicians A Professional Medical Corp accept?
Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Medical Plaza Ent Physicians A Professional Medical Corp 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.
When was this NPI record last updated?
The NPPES record for Medical Plaza Ent Physicians A Professional Medical Corp was last updated on June 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Medical Plaza Ent Physicians · NPI 1124283163
Otolaryngology organization in Metairie, Louisiana. Organization record, active in the CMS NPPES registry since July 18, 2008.
## Identity
- **NPI:** 1124283163 (Entity type: Organization)
- **Enumerated:** July 18, 2008
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **Legal business name:** Medical Plaza Ent Physicians A Professional Medical Corp
- **Organization subpart:** No
- **Authorized official:** Glenda Dantin, OFFICE MANAGER
## Practice location
- **Address:** 4228 HOUMA BLVD, SUITE 110, Metairie, LA 70006-3000
- **Phone:** (504) 455-3434 · **Fax:** (504) 455-5477
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Otolaryngology (1), Qualified Audiologist (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 21, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1124283163) · Data from the CMS NPPES public registry.