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: July 26, 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

Other Providers at the Same Location NPPES 4

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

Specialist
3645 HOUMA BLVD
METAIRIE, LA 70006
Otolaryngology
3645 HOUMA BLVD
METAIRIE, LA 70006
Otolaryngology
3645 HOUMA BLVD
METAIRIE, LA 70006
Physician Assistant
3645 HOUMA BLVD
METAIRIE, LA 70006

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.

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 with the weekly NPPES data releases published by CMS.