Active NPI
Ray Scott Daugherty Jr., MD
- Colon & Rectal Surgery Physician
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 205766
- Practice address
- 7777 Hennessy Blvd Ste 206
Baton Rouge, LA 70808-4363 - Phone
- (225) 767-1156
- Fax
- (225) 767-5980
- NPI assigned
- Mar 19, 2010
- Last updated
- Apr 18, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 205766 | LA | |
| Surgery Physician | 208600000X | 54562 | TN | |
| Colon & Rectal Surgery Physician | 208C00000X | 54562 | TN | |
| Colon & Rectal Surgery Physician | 208C00000X | 205766 | LA | Primary |
Addresses
Primary practice location
7777 Hennessy Blvd Ste 206
Baton Rouge, LA 70808-4363
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 526-0001
Other practice location 1
1211 Union Ave
Suite 300
Memphis, TN 38104-6638
Phone (901) 609-3525
Other practice location 2
1211 Union Ave
Suite 300
Memphis, TN 38104-6638
Phone (901) 609-3525
Other practice location 3
5000 Odonavan Blvd Ste 307
Walker, LA 70785-6355
Phone (225) 767-1156
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08603276 | Medicaid | MS | |
| 216071001 | Medicaid | AR | |
| 6082717 | Other | TN | BCBS |
| Q023627 | Medicaid | TN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Colorectal Surgery (Proctology)
- Education
- Louisiana State University School of Medicine in New Orleans, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8585 Picardy Ave
Suite 318
Baton Rouge, LA 70809-3749
Phone (225) 333-3800
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.3 of 100
- Quality
- 57.21
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 205766 | LA | MD | Surgery Physician |
| 54562 | TN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baton Rouge General Medical Center | Current | Accepting new patients | |
| Baton Rouge General Medical Center | Surgery | Current | Accepting new patients |
| Baton Rouge General Medical Center | Current | Accepting new patients | |
| Our Lady of the Lake Physician Group LLC | Surgery | Past | Accepting new patients |
| Baton Rouge Colon Rectal Associates | Colon & Rectal Surgery | Past | Accepting new patients |
| Baton Rouge General Medical Center | Past | Accepting new patients | |
| Baton Rouge General Medical Center | Past | Accepting new patients |
Locations
3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615
8585 Picardy Ave
Ste 318
Baton Rouge, LA 70809
Phone (225) 333-3800
8595 Picardy Ave
Ste 235
Baton Rouge, LA 70809
Phone (225) 763-4629
8595 Picardy Ave
Ste 400
Baton Rouge, LA 70809
Phone (225) 333-3800
9001 Summa Ave
Ste 448
Baton Rouge, LA 70809
Interoperability endpoints
- sdaugherty20858@brgeneralhealthsystem.direct-ci.com
Organizations & group practices 7
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.
-
dba Baton Rouge General Surgical Associates
- Surgery Physician
- Baton Rouge, LA
- NPI 1215199724
-
dba Family Health Center
- Family Medicine Physician
- Baton Rouge, LA
- NPI 1184648651
-
dba BRG Comprehensive Care Center
- Gastroenterology Physician
- Baton Rouge, LA
- NPI 1407346984
-
- Colon & Rectal Surgery Physician
- Baton Rouge, LA
- NPI 1205900925
-
dba Baton Rouge General Hospital Specialists
- Neurological Surgery Physician
- Baton Rouge, LA
- NPI 1285887844
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1962537407
-
dba OLOL Physician Surgical Specialty
- Hematology & Oncology Physician
- Baton Rouge, LA
- NPI 1184671455
Surgery
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Family Health Center
- Family Medicine Physician
- Baton Rouge, LA
- NPI 1184648651
Hospital
-
dba Baton Rouge General Surgical Associates
- Surgery Physician
- Baton Rouge, LA
- NPI 1215199724
Hospital
-
dba Baton Rouge General Hospital Specialists
- Neurological Surgery Physician
- Baton Rouge, LA
- NPI 1285887844
Hospital
-
dba BRG Comprehensive Care Center
- Gastroenterology Physician
- Baton Rouge, LA
- NPI 1407346984
Hospital
-
dba Baton Rouge General Express Care
- Clinic/Center
- Baton Rouge, LA
- NPI 1679096416
Hospital
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1962537407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524009600000",
"number": "1144544164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 S SHERWOOD FOREST BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708166038",
"telephone_number": "225-526-0001",
"fax_number": "225-765-9196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7777 HENNESSY BLVD STE 206",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708084363",
"telephone_number": "225-767-1156",
"fax_number": "225-767-5980"
}
],
"practiceLocations": [
{
"address_1": "1211 Union Ave",
"address_2": "Suite 300",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381046638",
"country_code": "US",
"telephone_number": "901-609-3525",
"fax_number": "901-266-6415",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1211 Union Ave",
"address_2": "Suite 300",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381046638",
"country_code": "US",
"telephone_number": "901-609-3525",
"fax_number": "901-266-6415",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5000 Odonavan Blvd Ste 307",
"address_purpose": "LOCATION",
"city": "Walker",
"state": "LA",
"postal_code": "707856355",
"country_code": "US",
"telephone_number": "225-767-1156",
"fax_number": "225-765-5980",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAUGHERTY",
"first_name": "RAY",
"middle_name": "SCOTT",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-19",
"last_updated": "2018-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "LA",
"license": "205766",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TN",
"license": "54562",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "TN",
"license": "54562",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "LA",
"license": "205766",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08603276",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "216071001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "6082717",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q023627",
"state": "TN"
}
],
"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 Apr 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.