MG DESALVO MD&GM GREMILLION MDAMC
NPI 1972623049
Specialist in Metairie, LA

Active since March 30, 2007
3645 HOUMA BLVD, METAIRIE, LA 70006(504) 885-4677(504) 888-0549 Get Directions Write a Review

NPPES record last updated: December 31, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mg Desalvo Md&gm Gremillion Mdamc NPPES

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

MG DESALVO MD&GM GREMILLION MDAMC (NPI 1972623049), doing business as Michael G. Desalvo, Md, A Med. Corp, is a healthcare organization registered as a specialist in Metairie, Louisiana and active in the NPI registry since March 2007. The organization lists Cynthia M. Petta, Office Manage, as its authorized official.

NPPES Registry Identity

NPI1972623049
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMG DESALVO MD&GM GREMILLION MDAMC
Location Address3645 HOUMA BLVDMetairie, LA 70006-4229
Mailing Address3645 Houma BlvdMetairie, LA 70006-4229 · (504) 885-4677 · Fax (504) 888-0549
Fax(504) 888-0549
Organization SubpartNo
Authorized OfficialCynthia M. PettaOffice Manage · (504) 885-4677
Enumeration DateMarch 30, 2007
Last NPPES UpdateDecember 31, 2020
NPPES CertifiedDecember 31, 2020
✔ NPI 1972623049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in LA · 207Y00000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3645 HOUMA BLVD, Metairie, LA 70006

Other Names 1

Former Legal Business NameMichael G. Desalvo, Md, A Med. Corp

Other Identifiers 1

Medicaid1149179LA

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mg Desalvo Md&gm Gremillion Mdamc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Mg Desalvo MD & gm Gremillion Mdamc, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Otolaryngology
NPI 1922044171
3645 HOUMA BLVD
Metairie, LA 70006
(504) 885-4677
✔ PECOSSame address
Otolaryngology
NPI 1477504397
3645 HOUMA BLVD
Metairie, LA 70006
(504) 885-4677
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1871597633
3645 HOUMA BLVD
Metairie, LA 70006
(504) 885-4677
✔ PECOSSame address
Otolaryngology
NPI 1962701854
5519 CANAL BLVD
New Orleans, LA 70124
(504) 650-5979
✔ PECOS✔ Accepts Medicare4.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mg Desalvo Md&gm Gremillion Mdamc's NPI number?

The NPI number for Mg Desalvo Md&gm Gremillion Mdamc is 1972623049. It was assigned to this organization in the NPPES registry on March 30, 2007. The provider was formerly known as Michael G. Desalvo, MD, A Med. Corp.

Where is Mg Desalvo Md&gm Gremillion Mdamc located?

Mg Desalvo Md&gm Gremillion Mdamc is located at 3645 Houma Blvd, Metairie, LA 70006. The listed phone number is (504) 885-4677.

What is Mg Desalvo Md&gm Gremillion Mdamc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Mg Desalvo Md&gm Gremillion Mdamc enrolled in Medicare?

Yes. Mg Desalvo Md&gm Gremillion Mdamc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mg Desalvo Md&gm Gremillion Mdamc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Otolaryngology, reassign their Medicare billing to Mg Desalvo Md&gm Gremillion Mdamc. 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, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mg Desalvo Md&gm Gremillion Mdamc accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Mg Desalvo Md&gm Gremillion Mdamc 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 Mg Desalvo Md&gm Gremillion Mdamc was last updated on December 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.