Individual provider Active NPI

Kyle Jacob Degeyter, MD

  • Vascular & Interventional Radiology Physician
  • Lafayette, LA
National Provider Identifier
1083840888
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD.204796 Issued in LA
Practice address
4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917
Phone
(337) 470-2000
NPI assigned
Jun 8, 2009
Last updated
Aug 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X MD.204796 LA
Vascular & Interventional Radiology Physician 2085R0204X MD.204796 LA Primary

Addresses

Primary practice location

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917

Mailing address

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917
Phone (337) 470-2000

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
I20120921000736 LA Practitioner - Diagnostic RadiologyPractitioner - Internal Medicine 2961650668 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Radiology, LLCGroup PAC ID 2860404811, 40 clinicians
Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians

Practice addresses (Care Compare)

1202 S Tyler St
Covington, LA 70433-2330
Phone (985) 898-4000

1211 Coolidge Blvd
Lafayette, LA 70503-2637

1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7374

2390 W Congress St
University Hosp Clinics
Lafayette, LA 70506-4205
Phone (337) 261-6000

4212 W Congress St
Lafayette, LA 70506-6765

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.204796LAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Helena Parish Hospital CurrentSince Feb 27, 2015 Accepting new patients
Lafayette Health Ventures Inc CurrentSince May 6, 2024 Accepting new patients
Correct Care, Inc. CurrentSince Jun 14, 2013 Accepting new patients
Rapid Urgent Care, Inc. CurrentSince Jun 14, 2013 Accepting new patients
Lsuhn Billing LLC CurrentSince Jul 1, 2012 Accepting new patients
Regional Radiology, LLC Diagnostic Radiology CurrentSince Aug 29, 2024 Accepting new patients
Lafayette Health Ventures Inc Current Accepting new patients
Rapid Urgent Care, Inc. CurrentSince Jun 14, 2013 Accepting new patients
Lafayette Health Ventures, Inc CurrentSince May 6, 2024 Accepting new patients
St. Helena Parish Hospital CurrentSince Feb 27, 2015 Accepting new patients
Ogh Imaging, LLC CurrentSince Jun 1, 2021 Accepting new patients
Roland J. Degeyter MD Apmc CurrentSince Oct 1, 2012 Accepting new patients
Physicians Unity CurrentSince Aug 10, 2023 Accepting new patients
Southpark Surgery Center, LLC CurrentSince Jul 1, 2023 Accepting new patients
Lsuhn Billing LLC CurrentSince Jul 1, 2012 Accepting new patients
Community Care Physicians, PC Past Accepting new patients
St Tammany Parish Hospital Service District No 1 Past Accepting new patients
Lafayette Health Ventures, Inc Past Accepting new patients

Locations (25 of 27)

118 N Hospital Dr
Abbeville, LA 70510
Phone (337) 893-5466

210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

16282 Highway 1085
Covington, LA 70433
Phone (985) 898-4140

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

301 Memorial Dr
Donaldsonvlle, LA 70346
Phone (225) 473-7931

82525 Highway 25
Folsom, LA 70437
Phone (985) 839-9895

502 Haifleigh St
Franklin, LA 70538
Phone (337) 828-2309

16874 Highway 43
Greensburg, LA 70441
Phone (225) 222-6111

1322 Elton Rd
Ste F
Jennings, LA 70546
Phone (337) 824-8868

1211 Coolidge Blvd
Ste 203
Lafayette, LA 70503
Phone (337) 233-2535

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

2810 Ambassador Caffery Pkwy
Lafayette, LA 70506
Phone (337) 593-5423

409 W Pont des Mouton Rd
Lafayette, LA 70507

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

4600 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 371-3135

901 Wilson St
Ste A
Lafayette, LA 70503
Phone (337) 534-0608

901 Wilson St
Ste B
Lafayette, LA 70503
Phone (337) 274-6549

901 Wilson St
Ste C
Lafayette, LA 70503
Phone (337) 372-2400

901 Wilson St
Ste D
Lafayette, LA 70503
Phone (337) 889-5726

1111 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 249-5600

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

1418 Heather Dr
Opelousas, LA 70570
Phone (512) 220-3821

2170 Gause Blvd W
Ste 101
Slidell, LA 70460
Phone (975) 326-8075

Interoperability endpoints

  • FHIR API: https://fhir.healthtogo.me/fhir/r4/imed.degeyter

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

Hospital & facility affiliations 4

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": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1083840888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 AMBASSADOR CAFFERY PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086917",
            "telephone_number": "337-470-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 AMBASSADOR CAFFERY PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086917",
            "telephone_number": "337-470-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGEYTER",
        "first_name": "KYLE",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-08",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "MD.204796",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "LA",
            "license": "MD.204796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.