NPIMap

Individual provider Active NPI

Kyle Lance Caulfield, MD

  • Internal Medicine Physician
  • Hammond, LA
National Provider Identifier
1164420162
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
014722 Issued in LA
Practice address
42388 Pelican Professional Park
Hammond, LA 70403-1475
Phone
(985) 542-6251
Fax
(985) 345-2386
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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 014722 LA Primary

Addresses

Primary practice location

42388 Pelican Professional Park
Hammond, LA 70403-1475

Mailing address

42388 Pelican Professional Park
Hammond, LA 70403-1475
Phone (985) 542-6251

Other identifiers 3

IdentifierTypeStateIssuer
4250494OtherLAAETNA US HEALTHCARE
1312622MedicaidLA
2705920003OtherLACIGNA OF LA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100820000708 LA Practitioner - Internal Medicine 5597660035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Internal Medicine Clinic of Tangipahoa, LLCGroup PAC ID 9234034778, 23 clinicians

Practice addresses (Care Compare)

42388 Pelican Professional Park
Hammond, LA 70403-2412
Phone (985) 542-6251

Hospital & facility affiliations

  • Vitalcaring Group Home health agency, Hammond, LA, CCN 197763
  • Southern Grace Hospice Hospice, Hammond, LA, CCN 191644
  • Vitalcaring Group Hospice, Hammond, LA, CCN 191525
  • North Oaks Medical Center Hospital, Hammond, LA, CCN 190015
  • P a M Specialty Hospital of Hammond Long-term care hospital, Hammond, LA, CCN 192036
  • Landmark Nursing Center Hammond Nursing home, Hammond, LA, CCN 195484

Merit-based Incentive Payment System (MIPS)

Final score
91.17 of 100Reported as apm
Quality
80.65
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
014722LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Clinic of Tangipahoa, LLC Internal Medicine CurrentSince May 1, 2002 Accepting new patients
Louisiana Hyperbarics Internal Medicine Past Accepting new patients
North Oaks Medical Center, LLC Past Accepting new patients
Community Care Center of Hammond LLC Past Accepting new patients

Locations

42388 Pelican Professional Park
Hammond, LA 70403
Phone (985) 542-6251

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

15770 Paul Vega Md Dr
Ste 108
Hammond, LA 70403
Phone (504) 542-6251

Interoperability endpoints

  • Direct secure messaging: kyle.caulfield@imcot.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DHBICA

Ownership & related parties

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Landmark Nursing Center of HammondHammond, LA, CCN 195484 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 8, 2013
Nov 8, 2013
Vitalcaring GroupHammond, LA, CCN 191525 Hospice W-2 Managing Employee Jan 1, 2024
Southern Grace HospiceHammond, LA, CCN 191644 Hospice Contracted Managing Employee (10%) Jan 1, 2025
Southern Grace HospiceBreaux Bridge, LA, CCN 191592 Hospice Operational/Managerial Control (50%) Jan 1, 2025

Owned or controlled facilities with NPI records 4

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

Organizations & group practices 4

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.

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1164420162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42388 PELICAN PROFESSIONAL PARK",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031475",
            "telephone_number": "985-542-6251",
            "fax_number": "985-345-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42388 PELICAN PROFESSIONAL PARK",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031475",
            "telephone_number": "985-542-6251",
            "fax_number": "985-345-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAULFIELD",
        "first_name": "KYLE",
        "middle_name": "LANCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "014722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "4250494",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1312622",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA OF LA",
            "identifier": "2705920003",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.