Active NPI
Robert B Kidd, M.D.
- Urology Physician
- Hammond, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 15801
- Practice address
- 15770 Paul Vega MD Dr
Hammond, LA 70403-1475 - Phone
- (985) 542-1226
- Fax
- (985) 542-2887
- NPI assigned
- May 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 15801 | LA | Primary |
Addresses
Primary practice location
15770 Paul Vega MD Dr
Hammond, LA 70403-1475
Mailing address
15770 Paul Vega MD Dr
Hammond, LA 70403-1475
Phone (985) 542-1226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1343510 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Tulane University School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15770 Paul Vega MD Dr
Hammond, LA 70403-1475
42439 Pelican Professional Park
Hammond, LA 70403-2405
Phone (985) 542-1226
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.59 of 100
- Quality
- 79.18
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15801 | LA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert B. Kidd MD Apmc | Urology | Current | Accepting new patients |
Locations
15770 Paul Vega Md Dr
Ste 200
Hammond, LA 70403
Phone (985) 542-1226
42439 Pelican Professional Park
Hammond, LA 70403
Phone (985) 542-1226
Interoperability endpoints
- https://app.meldrx.com/api/fhir/uc32329_robertbkiddmdapmc
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urology Physician
- Hammond, LA
- NPI 1528397023
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Hammond, LA
- NPI 1144227539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213056000000",
"number": "1053378166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15770 PAUL VEGA MD DR",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704031475",
"telephone_number": "985-542-1226",
"fax_number": "985-542-2887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15770 PAUL VEGA MD DR",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704031475",
"telephone_number": "985-542-1226",
"fax_number": "985-542-2887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIDD",
"first_name": "ROBERT",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2008-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "LA",
"license": "15801",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1343510",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.