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MARTHA E STEWART MD LLC
NPI 1265460869
Dermatology in Mandeville, LA

Active since June 30, 2006CLIA 19D1031497 · Microscopy
4060 LONESOME RD, MANDEVILLE, LA 70448(985) 727-7701(985) 727-7375 Get Directions Write a Review

NPPES record last updated: March 19, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Martha E Stewart Md Llc NPPES

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

MARTHA E STEWART MD LLC (NPI 1265460869) is a healthcare organization registered as a dermatology in Mandeville, Louisiana and active in the NPI registry since June 2006. The organization holds a CLIA Microscopy certificate valid through September 30, 2028 and lists Martha E Stewart, Owner, as its authorized official.

NPPES Registry Identity

NPI1265460869
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMARTHA E STEWART MD LLC
Location Address4060 LONESOME RDMandeville, LA 70448-7085
Mailing Address4060 Lonesome RdMandeville, LA 70448-7085 · (985) 727-7701 · Fax (985) 727-7375
Phone(985) 727-7701
Fax(985) 727-7375
Organization SubpartNo
Authorized OfficialMartha E StewartOwner · (985) 727-7701
Enumeration DateJune 30, 2006
Last NPPES UpdateMarch 19, 2018
✔ NPI 1265460869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
4060 LONESOME RD, Mandeville, LA 70448
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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)

Martha E Stewart Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Martha E Stewart MD LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Olivia Gioe, MD
Dermatology
NPI 1265973549
4060 LONESOME RD
Mandeville, LA 70448
(985) 727-7701
✔ PECOS✔ Accepts MedicareSame address
Martha Stewart, MD
Dermatology
NPI 1972535284
4060 LONESOME RD
Mandeville, LA 70448
(985) 727-7701
✔ PECOS✔ Accepts MedicareSame address

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 for Provider-Performed Microscopy Procedures (PPMP) 19D1031497

Martha E Stewart MD LLC · Mandeville, LA
Active · expires Sep 30, 2028
CLIA Number19D1031497
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2026
Certificate Expiration DateSeptember 30, 2028
Laboratory DirectorMartha E. Stewart MD
Laboratory Phone(985) 727-7701
Laboratory LocationMartha E Stewart MD LLC4060 Lonesome Road, Mandeville, LA 70448
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Martha E Stewart MD LLC's NPI number?

The NPI number for Martha E Stewart MD LLC is 1265460869. It was assigned to this organization in the NPPES registry on June 30, 2006.

Where is Martha E Stewart MD LLC located?

Martha E Stewart MD LLC is located at 4060 Lonesome Rd, Mandeville, LA 70448. The listed phone number is (985) 727-7701.

What is Martha E Stewart MD LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Martha E Stewart MD LLC enrolled in Medicare?

Yes. Martha E Stewart MD LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Martha E Stewart MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Martha E Stewart MD 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Martha E Stewart MD LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 19D1031497) is associated with this NPI, valid through September 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Martha E Stewart MD LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Martha E Stewart MD 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 Martha E Stewart MD LLC was last updated on March 19, 2018. 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.