Jason D. Landry, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

201261 Issued in LA

Practice address

121 Rue Louis Xiv
Building 9, Suite a
Lafayette, LA 70508

Phone

(337) 988-9737

Fax

(337) 988-9739

NPI assigned

May 18, 2007

Last updated

Feb 3, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Family Practice

Education

Louisiana State University School of Medicine in New Orleans, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Audubon Hospice of Lafayette, Inc Hospice, Lafayette, LA, CCN 191665

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HBAIBA/Endpoint/HBAIBA

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Audubon Hospice of Lafayette, Inc

  • Community Based Hospice Care Agency
  • Lafayette, LA
  • NPI 1942471230

  Contracted Managing Employee

  CMS ownership

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.

• Acadiana Concern for AIDS Relief Education and Support, Inc.

  dba AcadianaCares

  • Federally Qualified Health Center (FQHC)
  • Lafayette, LA
  • NPI 1184146706
  Medicare reassignment NPD
• Lafayette Foundation Clinic Inc

  dba Lafayette Foundation Clinic - Arnaudville

  • Family Medicine Physician
  • Arnaudville, LA
  • NPI 1679164123
  NPD Authorized official
• Lafayette Foundation Clinic Inc

  • Family Medicine Physician
  • Lafayette, LA
  • NPI 1972144319
  Authorized official Same address or phone
• Acadiana Concern for AIDS Relief Education and Support, Inc.

  • Substance Abuse Rehabilitation Facility
  • Lafayette, LA
  • NPI 1457413635
  NPD (past)
• Audubon Hospice of Lafayette, Inc

  • Community Based Hospice Care Agency
  • Lafayette, LA
  • NPI 1942471230

  Family Medicine

  NPD (past)
• Progressive Acute Care Physician Services Dauterive LLC

  dba Legacy Medical Group

  • Family Medicine Physician
  • New Iberia, LA
  • NPI 1396911558
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Audubon Hospice of Lafayette, Inc

  • Community Based Hospice Care Agency
  • Lafayette, LA
  • NPI 1942471230
  Care Compare affiliation

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1114135829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 RUE LOUIS XIV",
            "address_2": "BUILDING 9, SUITE A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "337-988-9737",
            "fax_number": "337-988-9739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 RUE LOUIS XIV",
            "address_2": "BUILDING 9, SUITE A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "337-988-9737",
            "fax_number": "337-988-9739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "JASON",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "201261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1238376",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00808639",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin D Landry
• Heather Tou Landry, LPC
• Jacob Edward Landry, M.D.
• James Landry, CNIM
• Jason Alton Landry, M.D.
• Jennifer Landry
• Jessica Lynn Landry, NURSE PRACTITIONER
• Jody Lynn Landry, RPH
• Johanna Ball Fruge Landry, MS, LPC
• Joslyn R Landry

• Family Medicine Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.