Individual provider Active NPI

Jule Irene Griebrok-Assercq, MD

  • Family Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1144243080
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21163 Issued in LA
Practice address
1401 North Foster Dr
Lsu Mid-City Diabetic Foot & Wound Clinic
Baton Rouge, LA 70806
Phone
(225) 987-9013
Fax
(225) 987-9093
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 21163 LA
Family Medicine Physician 207Q00000X 21163 LA Primary

Addresses

Primary practice location

1401 North Foster Dr
Lsu Mid-City Diabetic Foot & Wound Clinic
Baton Rouge, LA 70806

Mailing address

1401 N Foster Dr
Baton Rouge, LA 70806-1818
Phone (225) 987-9013

Other identifiers 1

IdentifierTypeStateIssuer
1489611MedicaidLA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jgriebrokassercq8531@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

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
I20080516000731 LA Practitioner - Family Practice 1456420496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.05 of 100Reported as group
Quality
82.12
Promoting interoperability
100
Improvement activities
40
Cost
71.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21163LAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lsuhn Billing LLC CurrentSince Apr 28, 2008 Accepting new patients
Lsuhn Billing LLC Family Medicine CurrentSince Apr 28, 2008 Accepting new patients

Locations

5825 Airline Hwy
Baton Rouge, LA 70805
Phone (225) 358-1000

1401 N Foster Dr
Baton Rouge, LA 70806
Phone (225) 987-9000

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

1340 Poydras St
New Orleans, LA 70112

Organizations & group practices 2

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1144243080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 N FOSTER DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708061818",
            "telephone_number": "225-987-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 NORTH FOSTER DR",
            "address_2": "LSU MID-CITY DIABETIC FOOT & WOUND CLINIC",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70806",
            "telephone_number": "225-987-9013",
            "fax_number": "225-987-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIEBROK-ASSERCQ",
        "first_name": "JULE",
        "middle_name": "IRENE",
        "name_prefix": "Miss",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "21163",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "21163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1489611",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgriebrokassercq8531@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jgriebrokassercq8531@direct.casso.us.com",
            "address_1": "1401 North Foster Dr",
            "address_2": "LSU Mid-City Diabetic Foot & Wound Clinic",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "70806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1401 North Foster Dr",
            "address_2": "LSU Mid-City Diabetic Foot & Wound Clinic",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "70806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.