Kristal Bourgeois Guidroz, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

202515 Issued in LA

Practice address

327 Bayou Gardens Blvd
Houma, LA 70364-1434

Phone

(985) 876-5000

Fax

(985) 876-5280

NPI assigned

Dec 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Dermatology

Education

Louisiana State University School of Medicine in Shreveport, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grafton Dermatology and Cosmetic SurgeryGroup PAC ID 8123085248, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.15 of 100Reported as individual

Promoting interoperability

99

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: referral.guidroz@graftonderm.emadirect.md

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.

• Grafton Dermatology and Cosmetic Surgery

  • Specialist
  • Houma, LA
  • NPI 1053400416
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1053595702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 BAYOU GARDENS BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703642635",
            "telephone_number": "985-876-5000",
            "fax_number": "985-876-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 BAYOU GARDENS BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703641434",
            "telephone_number": "985-876-5000",
            "fax_number": "985-876-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDROZ",
        "first_name": "KRISTAL",
        "middle_name": "BOURGEOIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-18",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "202515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002330",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana M Gros, RPH
• Lauren Voisin Gros, FNP-C
• Owen M Grossman, MD
• Grounded Path Counseling, LLC
• George Dudley Grove, M.D.
• Michael Stephen Guidroz, LCSW
• Tabitha Kate Guidry-Turner, LMHC, LPC
• Andre Funderburk Guidry, MD
• Angelle M Guidry, MASSAGE THERAPIST
• Brett B Guidry, LCSW

• Dermatology Physician in Houma, LA
• Providers in Houma, LA by specialty
• Dermatology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.

Verify at the official NPI Registry.