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NORTHSHORE LASER & VEIN CENTER LLC
NPI 1205516903
Internal Medicine - Critical Care Medicine in Mandeville, LA

Active since July 19, 2023
301 GLORIAS PL, MANDEVILLE, LA 70471(985) 507-9116(850) 637-8020 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Northshore Laser & Vein Center Llc NPPES

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

NORTHSHORE LASER & VEIN CENTER LLC (NPI 1205516903) is a healthcare organization registered as a critical care medicine in Mandeville, Louisiana and active in the NPI registry since July 2023. The organization lists Richard J. Grisoli, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1205516903
Entity TypeOrganization
Primary Taxonomy207RC0200X
Legal Business NameNORTHSHORE LASER & VEIN CENTER LLC
Location Address301 GLORIAS PLMandeville, LA 70471-1612
Mailing Address301 Glorias PlMandeville, LA 70471-1612 · (985) 507-9116 · Fax (850) 637-8020
Phone(985) 507-9116
Fax(850) 637-8020
Organization SubpartNo
Authorized OfficialRichard J. GrisoliMedical Director · (985) 507-9116
Enumeration DateJuly 19, 2023
NPPES CertifiedJuly 18, 2023
✔ NPI 1205516903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
301 GLORIAS PL, Mandeville, LA 70471
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.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)

Northshore Laser & Vein Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Northshore Laser & Vein Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Richard Grisoli, M.D.
Critical Care (Intensivists)
NPI 1568467413
15790 PAUL VEGA MD DR
Hammond, LA 70403
(985) 345-8867
✔ PECOS✔ Accepts Medicare21 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Northshore Laser & Vein Center LLC's NPI number?

The NPI number for Northshore Laser & Vein Center LLC is 1205516903. It was assigned to this organization in the NPPES registry on July 19, 2023.

Where is Northshore Laser & Vein Center LLC located?

Northshore Laser & Vein Center LLC is located at 301 Glorias Pl, Mandeville, LA 70471. The listed phone number is (985) 507-9116.

What is Northshore Laser & Vein Center LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Northshore Laser & Vein Center LLC enrolled in Medicare?

Yes. Northshore Laser & Vein Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northshore Laser & Vein Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Critical Care (Intensivists)) reassigns their Medicare billing to Northshore Laser & Vein Center LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Northshore Laser & Vein Center LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Northshore Laser & Vein Center LLC 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 Northshore Laser & Vein Center LLC was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.