Active NPI
Kenneth Boyd Sumner, M.D.
- Psychiatry Physician
- Metairie, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 020090
- Practice address
- 3901 Houma Blvd Ste 401
Metairie, LA 70006-2930 - Phone
- (504) 889-1448
- Fax
- (504) 885-8752
- NPI assigned
- Feb 7, 2007
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 020090 | LA | Primary |
Addresses
Primary practice location
3901 Houma Blvd Ste 401
Metairie, LA 70006-2930
Mailing address
3901 Houma Blvd Ste 401
Metairie, LA 70006-2930
Phone (504) 889-1448
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1934194 | 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
- Psychiatry
- Education
- Tulane University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3901 Houma Blvd
Suite 401
Metairie, LA 70006-2930
Phone (504) 889-1448
4200 Houma Blvd
Metairie, LA 70006-2970
Phone (504) 454-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson Psychiatric Associates | Psychiatry | Current | Accepting new patients |
| Jefferson Psychiatric Associates LLC | Psychiatry | Current | Accepting new patients |
| Greenbrier Hospital, LLC | Current | Accepting new patients |
Locations
201 Greenbrier Blvd
Covington, LA 70433
Phone (866) 652-3940
3340 Severn Ave
Ste 206
Metairie, LA 70002
Phone (504) 889-1448
3901 Houma Blvd
Ste 401
Metairie, LA 70006
Phone (504) 889-1448
Networks
- LA PPO C-SNP
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/05a97b88-f719-405f-abbb-125ac71b7cee/
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Metairie, LA
- NPI 1053558890
-
- Psychiatric Hospital
- Covington, LA
- NPI 1659451664
-
- Psychiatry Physician
- Metairie, LA
- NPI 1114138856
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1033611454
-
- General Acute Care Hospital
- Metairie, LA
- NPI 1497792527
-
- Psychiatric Hospital Unit
- Covington, LA
- NPI 1790722825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633305600000",
"number": "1073653275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 HOUMA BLVD STE 401",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700062930",
"telephone_number": "504-889-1448",
"fax_number": "504-885-8752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 HOUMA BLVD STE 401",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700062930",
"telephone_number": "504-889-1448",
"fax_number": "504-885-8752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMNER",
"first_name": "KENNETH",
"middle_name": "BOYD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2021-10-04",
"certification_date": "2021-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "LA",
"license": "020090",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1934194",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.