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DR. THERESA LYNN DISE MD
NPI 1518059146
Pediatrics in New Orleans, LA

Active since September 29, 2006PECOS Enrolled
200 BROADWAY ST, SUITE 230, NEW ORLEANS, LA 70118(504) 988-9000(504) 988-9099 Get Directions Write a Review

NPPES record last updated: June 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Theresa Lynn Dise Md NPPES

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

DR. THERESA LYNN DISE MD (NPI 1518059146) is an individual pediatrics provider in New Orleans, Louisiana, licensed in Louisiana (07313R) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518059146
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. THERESA LYNN DISECredential: MD
Location Address200 BROADWAY ST, SUITE 230New Orleans, LA 70118-3557
Mailing Address1430 Tulane Ave, Sl-37New Orleans, LA 70112-2632 · (504) 988-5001 · Fax (504) 988-9099
Phone(504) 988-9000
Fax(504) 988-9099
Sole ProprietorNo
Enumeration DateSeptember 29, 2006
Last NPPES UpdateJune 20, 2011
✔ NPI 1518059146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in LA · 07313R
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
200 BROADWAY ST, New Orleans, LA 70118
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Other Identifiers 3

Medicare UPINE15132LA
Medicaid1378291LA
Medicare ID-Type Unspecified54839LA · Medicare Provider Number

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, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Theresa Lynn Dise Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70118 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
$86.76 typical visit price
range $55.50 – $170.30
Typical copayment $21.69 (range $13.87 – $42.57)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRESCENT CITY SCHOOLS
Clinic/Center (Student Health)
200 BROADWAY ST, SUITE 108
NEW ORLEANS, LA 70118
Orleans Parish (504) 234-4528
PRIDE COLLEGE PREPARATORY ACADEMY
Local Education Agency (LEA)
200 BROADWAY ST, SUITE 108
NEW ORLEANS, LA 70118
Orleans Parish (504) 400-0614
DR. JANIFER SHANELL TROPEZ M.D.
Obstetrics & Gynecology
200 BROADWAY ST
NEW ORLEANS, LA 70118
Orleans Parish (504) 988-9000

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 Theresa Dise's NPI number?

The NPI number for Theresa Dise is 1518059146. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Theresa Dise located?

Theresa Dise practices at 200 Broadway St Suite 230, New Orleans, LA 70118. The listed phone number is (504) 988-9000.

What is Theresa Dise's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Theresa Dise enrolled in Medicare?

Yes. Theresa Dise is registered in the Medicare PECOS enrollment system.

What insurance does Theresa Dise accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Theresa Dise 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 Theresa Dise was last updated on June 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.