VIVIAN ANDREW FONSECA MD
NPI 1346356037
Internal Medicine - Endocrinology, Diabetes & Metabolism in New Orleans, LA

Active since August 22, 2006PECOS EnrolledAccepts Medicare Assignment
1430 TULANE AVE, SL 53, NEW ORLEANS, LA 70112(504) 988-4026(504) 988-6271 Get Directions Write a Review

NPPES record last updated: January 24, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vivian Andrew Fonseca Md NPPES

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

VIVIAN ANDREW FONSECA MD (NPI 1346356037) is an individual endocrinology, diabetes & metabolism provider in New Orleans, Louisiana, licensed in Louisiana (12686R) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with University Medical Center New Orleans, and is a graduate of Other (1976).

NPPES Registry Identity

NPI1346356037
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameVIVIAN ANDREW FONSECACredential: MD
Location Address1430 TULANE AVE, SL 53New Orleans, LA 70112-2632
Mailing Address1430 Tulane Ave, Sl 53New Orleans, LA 70112-2632 · (504) 988-4026 · Fax (504) 988-6271
Fax(504) 988-6271
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateAugust 22, 2006
Last NPPES UpdateJanuary 24, 2012
NPI 1346356037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in LA · 12686R
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1430 TULANE AVE, New Orleans, LA 70112

Other Identifiers 3

Medicaid1654426LA
Medicare PIN5A758LA
Medicare UPINF29017LA

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

Vivian Andrew Fonseca 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 ID2163446816
PECOS Enrollment IDI20060120000194
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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
63 services38 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services15 patients

Hospital Affiliations CMS Care Compare 2

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

University Medical Center New Orleans

Acute Care Hospitals · New Orleans, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190005
Location2000 Canal StreetNew Orleans, LA 70112 · Orleans County
Emergency services

East Jefferson General Hospital

Acute Care Hospitals · Metairie, LA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number190176
Location4200 Houma BlvdMetairie, LA 70006 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70112 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
$98.35 typical visit price
range $17.42 – $138.03
Typical copayment $24.58 (range $4.35 – $34.50)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers12 claims41 services$6.60 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
9 suppliers135 claims135 services$193.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Urology
1430 TULANE AVE
NEW ORLEANS, LA 70112
Pathology (Anatomic Pathology)
1430 TULANE AVE
NEW ORLEANS, LA 70112
Internal Medicine
1430 TULANE AVE, SL-16
NEW ORLEANS, LA 70112
Medical Genetics, Ph.D. Medical Genetics
1430 TULANE AVE, SL31
NEW ORLEANS, LA 70112
Internal Medicine
1430 TULANE AVE, SL-16
NEW ORLEANS, LA 70112
Specialist
1430 TULANE AVE
NEW ORLEANS, LA 70112
Internal Medicine
1430 TULANE AVE
NEW ORLEANS, LA 70112
Ophthalmology
1430 TULANE AVE
NEW ORLEANS, LA 70112

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 Vivian Fonseca's NPI number?

The NPI number for Vivian Fonseca is 1346356037. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Vivian Fonseca located?

Vivian Fonseca practices at 1430 Tulane Ave Sl 53, New Orleans, LA 70112. The listed phone number is (504) 988-4026.

What is Vivian Fonseca's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Vivian Fonseca enrolled in Medicare?

Yes. Vivian Fonseca 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 Vivian Fonseca accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Vivian Fonseca 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 Vivian Fonseca affiliated with any hospitals?

According to CMS data, Vivian Fonseca is affiliated with University Medical Center New Orleans and East Jefferson General Hospital.

When was this NPI record last updated?

The NPPES record for Vivian Fonseca was last updated on January 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.