Individual provider Active NPI

Jones Samuel, MD

  • Nephrology Physician
  • Baton Rouge, LA
National Provider Identifier
1164429437
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
12270R Issued in LA
Practice address
5131 Odonovan Dr Ste 100
Baton Rouge, LA 70808-4791
Phone
(225) 767-4893
Fax
(225) 767-5494
NPI assigned
Jul 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 12270R LA Primary

Addresses

Primary practice location

5131 Odonovan Dr Ste 100
Baton Rouge, LA 70808-4791

Mailing address

5131 Odonovan Dr Ste 100
Baton Rouge, LA 70808-4791
Phone (225) 767-4893

Other identifiers 1

IdentifierTypeStateIssuer
1698466MedicaidLA

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
I20100727000220 LA Practitioner - NephrologyPractitioner - Internal Medicine 2466540471 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Missouri, Columbia School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians
Renal Associates of Baton Rouge, LLCGroup PAC ID 2567354046, 25 clinicians

Practice addresses (Care Compare)

16777 Medical Ctr Dr
Baton Rouge, LA 70816-3254
Phone (225) 754-3278

5131 Odonovan Dr
FL 1
Baton Rouge, LA 70808-4791
Phone (225) 767-4893

Hospital & facility affiliations

  • Fmcna - Gonzales Dialysis facility, Gonzales, LA, CCN 192730
  • Fmcna - Ascension Dialysis facility, Prairieville, LA, CCN 192644
  • Fmcna - Greater Baton Rouge Home Program Dialysis facility, Baton Rouge, LA, CCN 192734
  • Our Lady of the Lake Regional Medical Center Hospital, Baton Rouge, LA, CCN 190064
  • Baton Rouge General Medical Center Hospital, Baton Rouge, LA, CCN 190065
  • Ochsner Medical Center - Baton Rouge Hospital, Baton Rouge, LA, CCN 190202
  • Lane Regional Medical Center Hospital, Zachary, LA, CCN 190020
  • Pointe Coupee General Hospital Hospital, New Roads, LA, CCN 191316

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12270RLAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Mar 18, 2024 Accepting new patients
Ochsner Clinic LLC CurrentSince Mar 18, 2024 Accepting new patients
Renal Associates of Baton Rouge, LLC Nephrology CurrentSince Mar 15, 2001 Accepting new patients
Nagaratna Reddy M.D Past Accepting new patients
Bio-Medical Applications of Louisiana, LLC PastSince Sep 1, 2007 Accepting new patients
Nephrology Management LLC Nephrology Past Accepting new patients
Nagaratna Reddy M.D Past Accepting new patients

Locations

5131 Odonovan Dr
Fl First
Baton Rouge, LA 70808
Phone (225) 767-4893

10310 The Grove Blvd
Baton Rouge, LA 70836
Phone (225) 761-5239

5131 Odonovan Dr
Ste 100
Baton Rouge, LA 70808
Phone (225) 767-4893

7638 Picardy Ave
Ste B
Baton Rouge, LA 70808
Phone (225) 767-4893

5131 Odonovan Dr
Fl 1
Baton Rouge, LA 70808
Phone (225) 767-4893

16777 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 754-3278

2647 S Saint Elizabeth Blvd
Ste 311
Gonzales, LA 70737
Phone (225) 743-2833

16045 Doctors Blvd
Hammond, LA 70403
Phone (985) 542-1317

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

5000 Odonavan Blvd
Ste 412
Walker, LA 70785
Phone (225) 767-7200

1215 Independence Blvd
Ste 9A
Zachary, LA 70791

Interoperability endpoints

  • Direct secure messaging: jsamuel14266@direct.acumenmd.com
  • Direct secure messaging: jsamuel26137@direct.ochsner.org

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 and National Provider Directory roles.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1164429437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 ODONOVAN DR STE 100",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084791",
            "telephone_number": "225-767-4893",
            "fax_number": "225-767-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 ODONOVAN DR STE 100",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084791",
            "telephone_number": "225-767-4893",
            "fax_number": "225-767-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "JONES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "12270R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1698466",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.