Individual provider Active NPI

Robert B Kidd, M.D.

  • Urology Physician
  • Hammond, LA
National Provider Identifier
1053378166
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
15801 Issued in LA
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

Updated by the provider on Jun 10, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1343510MedicaidLA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091217000631 LA Practitioner - Urology 4284774514 Reassigns benefits to 1 organization

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
Robert B. Kidd MD ApmcGroup PAC ID 3274673504, 2 clinicians

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 100Reported as individual
Quality
79.18
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15801LAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert B. Kidd MD Apmc Urology CurrentSince Aug 31, 2009 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

  • FHIR API: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.