Kelly James Boudreaux Jr., M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

203731 Issued in LA

Practice address

8080 Bluebonnet Blvd.
Suite 3000
Baton Rouge, LA 70810

Phone

(225) 766-8100

Fax

(225) 408-6896

NPI assigned

Jan 4, 2007

Last updated

Aug 26, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Urology

Education

Louisiana State University School of Medicine in Shreveport, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baton Rouge Clinic, a Medical CorporationGroup PAC ID 1254317001, 285 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baton Rouge General Medical Center Hospital, Baton Rouge, LA, CCN 190065
• Surgical Specialty Center of Baton Rouge Hospital, Baton Rouge, LA, CCN 190251

Merit-based Incentive Payment System (MIPS)

Final score

87.25 of 100Reported as group

Promoting interoperability

85

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jboudreaux14952@direct.casso.us.com

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.

• Baton Rouge Clinic, a Medical Corporation

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1871546911

  Urology

  Medicare reassignment Care Compare group NPD
• Baton Rouge Clinic, a Medical Corporation

  dba Baton Rouge Clinic Eye Care

  • Ophthalmology Physician
  • Baton Rouge, LA
  • NPI 1528941655
  NPD
• Louisiana Urology, LLC

  • Urology Physician
  • Baton Rouge, LA
  • NPI 1225149677
  NPD

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

• Baton Rouge General Medical Center

  dba Family Health Center

  • Family Medicine Physician
  • Baton Rouge, LA
  • NPI 1184648651

  Hospital

  Care Compare affiliation
• Baton Rouge General Medical Center

  dba Baton Rouge General Surgical Associates

  • Surgery Physician
  • Baton Rouge, LA
  • NPI 1215199724

  Hospital

  Care Compare affiliation
• Baton Rouge General Medical Center

  dba Baton Rouge General Hospital Specialists

  • Neurological Surgery Physician
  • Baton Rouge, LA
  • NPI 1285887844

  Hospital

  Care Compare affiliation
• Baton Rouge General Medical Center

  dba BRG Comprehensive Care Center

  • Gastroenterology Physician
  • Baton Rouge, LA
  • NPI 1407346984

  Hospital

  Care Compare affiliation
• Baton Rouge General Medical Center

  dba Baton Rouge General Express Care

  • Clinic/Center
  • Baton Rouge, LA
  • NPI 1679096416

  Hospital

  Care Compare affiliation
• Baton Rouge General Medical Center

  • General Acute Care Hospital
  • Baton Rouge, LA
  • NPI 1962537407
  Care Compare affiliation
• Surgical Specialty Center of Baton Rouge, LLC

  dba Surgical Specialty Center of Baton Rouge

  • General Acute Care Hospital
  • Baton Rouge, LA
  • NPI 1588631311
  Care Compare affiliation

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1205983194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 BLUEBONNET BLVD",
            "address_2": "SUITE 3000",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70810",
            "telephone_number": "225-766-8100",
            "fax_number": "225-408-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 BLUEBONNET BLVD.",
            "address_2": "SUITE 3000",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70810",
            "telephone_number": "225-766-8100",
            "fax_number": "225-408-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUDREAUX",
        "first_name": "KELLY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2010-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "LA",
            "license": "203731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A Boudreaux
• Ellen Boudreaux, CPSS, ITE
• Emily Olinde Boudreaux, PH.D.
• Jason Grady Boudreaux, MD
• Jessica Nicole Boudreaux
• Kristen Pilcher Boudreaux, CRNA
• Kristi Boudreaux
• Lacey Lauren Boudreaux, PT, DPT
• Laura Marie Boudreaux, M.D.
• Linden Boudreaux, CRNA

• Urology Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Urology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; 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.

Verify at the official NPI Registry.