EAST JEFFERSON GASTROENTEROLOGY INC
NPI 1336360007
Internal Medicine - Gastroenterology in Metairie, LA

Active since May 01, 2007CLIA 19D1026881 · Waiver
3941 HOUMA BLVD, STE 1B, METAIRIE, LA 70006(504) 888-0388(504) 888-9119 Get Directions Write a Review

NPPES record last updated: August 15, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About East Jefferson Gastroenterology Inc NPPES

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

EAST JEFFERSON GASTROENTEROLOGY INC (NPI 1336360007) is a healthcare organization registered as a gastroenterology in Metairie, Louisiana and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through June 16, 2028 and lists David A Dulitz, Owner, as its authorized official.

NPPES Registry Identity

NPI1336360007
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameEAST JEFFERSON GASTROENTEROLOGY INC
Location Address3941 HOUMA BLVD, STE 1BMetairie, LA 70006-2920
Mailing Address3941 Houma Blvd, Ste 1bMetairie, LA 70006-2920 · (504) 888-0388 · Fax (504) 888-9119
Fax(504) 888-9119
Organization SubpartNo
Authorized OfficialDavid A DulitzOwner · (504) 888-0388
Enumeration DateMay 1, 2007
Last NPPES UpdateAugust 15, 2008
✔ NPI 1336360007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in LA · 11984R
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
3941 HOUMA BLVD, Metairie, LA 70006

Other Identifiers 1

Medicare ID-Type Unspecified5CM01LA · Group Number

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

East Jefferson Gastroenterology Inc 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 East Jefferson Gastroenterology Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gastroenterology
NPI 1073547592
1057 PAUL MAILLARD RD
Luling, LA 70070
(985) 785-6242
✔ PECOS✔ Accepts Medicare13 mi

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 19D1026881

East Jefferson Gastroenterology, Inc · Metairie, LA
Active · expires Jun 16, 2028
CLIA Number19D1026881
Laboratory TypePhysician Office
Certificate Effective DateJune 17, 2026
Certificate Expiration DateJune 16, 2028
Laboratory DirectorDavid A. Dulitz
Laboratory Phone(504) 888-0388
Laboratory LocationEast Jefferson Gastroenterology, Inc3941 Houma Boulevard Suite 1-B, Metairie, LA 70006
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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 East Jefferson Gastroenterology Inc's NPI number?

The NPI number for East Jefferson Gastroenterology Inc is 1336360007. It was assigned to this organization in the NPPES registry on May 1, 2007.

Where is East Jefferson Gastroenterology Inc located?

East Jefferson Gastroenterology Inc is located at 3941 Houma Blvd Ste 1B, Metairie, LA 70006. The listed phone number is (504) 888-0388.

What is East Jefferson Gastroenterology Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is East Jefferson Gastroenterology Inc enrolled in Medicare?

Yes. East Jefferson Gastroenterology Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through East Jefferson Gastroenterology Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gastroenterology) reassigns their Medicare billing to East Jefferson Gastroenterology Inc. 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.

Does East Jefferson Gastroenterology Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D1026881) is associated with this NPI, valid through June 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for East Jefferson Gastroenterology Inc was last updated on August 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.