Kent Humble, M.D.
Individual provider Active NPI Family Medicine Physician · Rayne, LA
NPI 1104826338 · NPPES record last updated Dec 13, 2016
Key facts
- NPI
- 1104826338
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- L021972 (LA)
- Practice address
- 717 Curtis Dr
Rayne, LA 70578-8311 - Phone
- (337) 334-7551
- Fax
- (337) 334-7556
- NPI assigned
- Jul 29, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Louisiana State University School of Medicine in New Orleans, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Hospital and Clinics, Inc.
Practice addresses (Care Compare)
2390 W Congress St
Lafayette, LA 70506-4205
Phone (337) 261-6000
Hospital & facility affiliations
- Ochsner University Hospital and Clinics
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080611000150 | LA | Practitioner - Family Practice | 8426129933 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L021972 | LA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospital & Clinics, Inc. | Current |
Accepting new patients | |
| Lsuhn Billing LLC | Current |
Accepting new patients | |
| Lsuhn Billing LLC | Family Medicine | Current |
Accepting new patients |
| University Hospital & Clinics Inc | Current |
Accepting new patients | |
| University Hospital & Clinics, Inc. | Past | Accepting new patients |
Locations
2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000
Interoperability endpoints
- khumble1443410@direct.ochsner.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L021972 | LA | Yes |
Addresses
Primary practice location
717 Curtis Dr
Rayne, LA 70578-8311
Mailing address
717 Curtis Dr
Rayne, LA 70578-8311
Phone (337) 334-7551
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1991571 | Medicaid | LA |
Other providers in Rayne, LA
- Colin John Hebert
- Melanie Jordan Hebert
- Heritage Road Group Home
- Tessa Melancon Himel
- Hulin Urgent Care Services LLC
- Jennifer Marie Istre
- Sydney Jarrell
- Shanequa Jones
- Kaitlyn Lasseigne, LCSW, LLC
- Melissa Mae Kanouff
All providers in Rayne, LA · Family Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.