Individual provider Active NPI

Kent Humble, M.D.

  • Family Medicine Physician
  • Rayne, LA
National Provider Identifier
1104826338
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L021972 Issued in LA
Practice address
717 Curtis Dr
Rayne, LA 70578-8311
Phone
(337) 334-7551
Fax
(337) 334-7556
NPI assigned
Jul 29, 2005
Last updated
Dec 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L021972 LA Primary

Addresses

Primary practice location

717 Curtis Dr
Rayne, LA 70578-8311

Mailing address

717 Curtis Dr
Rayne, LA 70578-8311
Phone (337) 334-7551

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
I20080611000150 LA Practitioner - Family Practice 8426129933 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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

Practice addresses (Care Compare)

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L021972LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lsuhn Billing LLC CurrentSince Apr 28, 2008 Accepting new patients
University Hospital & Clinics, Inc. CurrentSince Nov 1, 2015 Accepting new patients
University Hospital & Clinics Inc CurrentSince Nov 1, 2015 Accepting new patients
Lsuhn Billing LLC Family Medicine CurrentSince Apr 28, 2008 Accepting new patients
Lsumc University Medical Center Past Accepting new patients

Locations

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

Interoperability endpoints

  • Direct secure messaging: khumble1443410@direct.ochsner.org

Organizations & group practices 5

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.

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1104826338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 CURTIS DR",
            "city": "RAYNE",
            "state": "LA",
            "postal_code": "705788311",
            "telephone_number": "337-334-7551",
            "fax_number": "337-334-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 CURTIS DR",
            "city": "RAYNE",
            "state": "LA",
            "postal_code": "705788311",
            "telephone_number": "337-334-7551",
            "fax_number": "337-334-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMBLE",
        "first_name": "KENT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "L021972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rayne, LA

Sources for this page

Verify at the official NPI Registry.