DR. JAMES SCOTT KRULISKY M.D.
NPI 1285866947
Pediatrics - Pediatric Cardiology in New Orleans, LA
About Dr. James Scott Krulisky M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAMES SCOTT KRULISKY M.D. (NPI 1285866947) is an individual pediatric cardiology provider in New Orleans, Louisiana, licensed in Louisiana (207779) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (2009).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. James Scott Krulisky M.d. 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.
Medicare Billing Reassignments
2Medicare enrollment records show James Krulisky reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New Orleans, LA 70118
- Reassigned Medicare billing, Louisiana enrollment
- 224 clinicians in this Medicare group
Raceland, LA 70394
- Reassigned Medicare billing, Louisiana enrollment
- 179 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
NEW ORLEANS, LA 70118
NEW ORLEANS, LA 70118
NEW ORLEANS, LA 70118
NEW ORLEANS, LA 70118
NEW ORLEANS, LA 70118
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 James Krulisky's NPI number?
The NPI number for James Krulisky is 1285866947. It was assigned to this individual provider in the NPPES registry on August 14, 2009.
Where is James Krulisky located?
James Krulisky practices at 200 Henry Clay Ave, New Orleans, LA 70118. The listed phone number is (504) 896-9751.
What is James Krulisky's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.
Is James Krulisky enrolled in Medicare?
Yes. James Krulisky 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.
Which organizations bill Medicare for James Krulisky's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Krulisky reassigns Medicare benefits to 2 organizations: Louisiana State University School Of Med In New Orleans Faculty Grou (New Orleans, LA) and Thibodaux Regional Network Development Corporation (Raceland, LA). Each 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 James Krulisky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Krulisky accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list James Krulisky 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 James Krulisky was last updated on July 16, 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.
# Dr. James Scott Krulisky, M.D. · NPI 1285866947
Pediatric Cardiology physician in New Orleans, Louisiana. Individual provider, active in the CMS NPPES registry since August 14, 2009.
## Identity
- **NPI:** 1285866947 (Entity type: Individual)
- **Enumerated:** August 14, 2009
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **State license:** 207779 (Louisiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 200 HENRY CLAY AVE, New Orleans, LA 70118
- **Phone:** (504) 896-9751 · **Fax:** (504) 896-3952
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Louisiana State University School Of Med In New Orleans Faculty Grou (NPI 1932492626, New Orleans, LA); Thibodaux Regional Network Development Corporation (NPI 1497348379, Raceland, LA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Albany Medical College Of Union University, class of 2009
## Record status
- **NPPES last updated:** July 16, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1285866947) · Data from the CMS NPPES public registry.