Individual provider Active NPI

Ray Scott Daugherty Jr., MD

  • Colon & Rectal Surgery Physician
  • Baton Rouge, LA
National Provider Identifier
1144544164
Registry record updated Apr 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
205766 Issued in LA
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
08603276MedicaidMS
216071001MedicaidAR
6082717OtherTNBCBS
Q023627MedicaidTN

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
I20180525001412 LA Practitioner - Colorectal Surgery (Proctology) 2961705736 Reassigns benefits to 1 organization

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 100Reported as group
Quality
57.21
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
205766LAMDSurgery Physician
54562TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge General Medical Center CurrentSince May 1, 2020 Accepting new patients
Baton Rouge General Medical Center Surgery Current Accepting new patients
Baton Rouge General Medical Center CurrentSince May 1, 2020 Accepting new patients
Our Lady of the Lake Physician Group LLC Surgery PastSince Dec 15, 2019 Accepting new patients
Baton Rouge Colon Rectal Associates Colon & Rectal Surgery PastSince Dec 15, 2019 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.