GUERGANA H ENIKOVA MD
NPI 1174627806
Internal Medicine - Cardiovascular Disease in New Orleans, LA

Active since September 12, 2006PECOS EnrolledAccepts Medicare Assignment
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121(504) 842-4000 Get Directions Write a Review

NPPES record last updated: November 3, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 3, 2017, Jun 26, 2017 (2 updates tracked since 2017).

About Guergana H Enikova Md NPPES

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

GUERGANA H ENIKOVA MD (NPI 1174627806) is an individual cardiovascular disease provider in New Orleans, Louisiana, licensed in Louisiana (305213) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center Acute, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1174627806
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameGUERGANA H ENIKOVACredential: MD
Location Address1514 JEFFERSON HWYNew Orleans, LA 70121-2429
Mailing Address1514 Jefferson HwyNew Orleans, LA 70121-2429
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateSeptember 12, 2006
Last NPPES UpdateNovember 3, 20172 updates tracked since enumeration
NPI 1174627806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in LA · 305213 Licensed in IL · 036114277
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1514 JEFFERSON HWY, New Orleans, LA 70121

Other Names 1

Other Name (5)Gina Guergana

Other Identifiers 3

Medicaid036114277IL
Medicare UPINA12345IL
Medicare PINK21285IL

Accepted 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

Guergana H Enikova 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 ID1153346994
PECOS Enrollment IDI20170719002376
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 5

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
153 services56 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
69 services37 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
34 services34 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.
25 services25 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190036
Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70121 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
$69.44 typical visit price
range $17.42 – $138.03
Typical copayment $17.36 (range $4.35 – $34.50)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Clinical Cardiac Electrophysiology)
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121
Surgery
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121
Nurse Practitioner (Pediatrics, Critical Care)
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121
Internal Medicine (Hematology & Oncology)
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121
Internal Medicine (Hematology & Oncology)
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121
Nurse Practitioner (Pediatrics)
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121
Nurse Anesthetist, Certified Registered
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121
Internal Medicine (Cardiovascular Disease)
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121

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 Guergana Enikova's NPI number?

The NPI number for Guergana Enikova is 1174627806. It was assigned to this individual provider in the NPPES registry on September 12, 2006. The provider is also known as Gina Guergana.

Where is Guergana Enikova located?

Guergana Enikova practices at 1514 Jefferson Hwy, New Orleans, LA 70121. The listed phone number is (504) 842-4000.

What is Guergana Enikova's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Guergana Enikova enrolled in Medicare?

Yes. Guergana Enikova 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 Guergana Enikova accept?

Health plans from Blue Cross and Blue Shield of Louisiana, CHRISTUS Health Plan and HMO Louisiana list Guergana Enikova 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 Guergana Enikova affiliated with any hospitals?

According to CMS data, Guergana Enikova is affiliated with Ochsner Medical Center Acute.

When was this NPI record last updated?

The NPPES record for Guergana Enikova was last updated on November 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.