Individual provider Active NPI

Curtis Clifton Chastain II, M.D.

  • Internal Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1144220906
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.019413 Issued in LA
Practice address
7777 Hennessy Blvd
Suite 101
Baton Rouge, LA 70808-4300
Phone
(225) 765-4400
Fax
(225) 765-4440
NPI assigned
Jul 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.019413 LA Primary

Addresses

Primary practice location

7777 Hennessy Blvd
Suite 101
Baton Rouge, LA 70808-4300

Mailing address

7777 Hennessy Blvd
Suite 101
Baton Rouge, LA 70808-4300
Phone (225) 765-4400

Other identifiers 1

IdentifierTypeStateIssuer
1906239MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.019413LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lake of the Lake Hospital Inc Internal Medicine Past Accepting new patients
Our Lady of the Lake Hospital Inc Past Accepting new patients
Our Lady of the Lake Physician Group LLC Past Accepting new patients
Surgical Specialty Center of Baton Rouge, LLC PastSince Mar 15, 2010 Accepting new patients
Our Lady of the Lake Hospital Inc Internal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cchastain2066@direct.casso.us.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1144220906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD",
            "address_2": "SUITE 101",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084300",
            "telephone_number": "225-765-4400",
            "fax_number": "225-765-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD",
            "address_2": "SUITE 101",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084300",
            "telephone_number": "225-765-4400",
            "fax_number": "225-765-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASTAIN",
        "first_name": "CURTIS",
        "middle_name": "CLIFTON",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2015-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.019413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1906239",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.