Individual provider Active NPI

Elizabeth Bonfanti Curtis, MD

  • Family Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1215934377
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
022589 Issued in LA
Practice address
8119 Picardy Ave
Baton Rouge, LA 70809-3515
Phone
(225) 765-3076
Fax
(225) 765-1076
NPI assigned
Jul 5, 2005
Last updated
May 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 022589 LA Primary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 022589 LA

Addresses

Primary practice location

8119 Picardy Ave
Baton Rouge, LA 70809-3515

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 765-5727

Other practice location 1

17520 Old Jefferson Hwy
Suite B
Prairieville, LA 70769-3929
Phone (225) 673-8983

Other identifiers 3

IdentifierTypeStateIssuer
080139833OtherLARAILROAD MEDICARE
249444YJXROtherLAMEDICARE PTAN
1490008MedicaidLA

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other
Direct Messaging Address ecurtis409232@direct.casso.us.com Direct

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
I20090409000233 LA Practitioner - Family Practice 5991775405 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of the Lake Physician Group LLC Family Medicine CurrentSince Aug 2, 2021 Accepting new patients
Our Lady of the Lake Physician Group LLC CurrentSince Aug 2, 2021 Accepting new patients
Ascension Oaks Nursing & Rehabilitation Center, LLC Past Accepting new patients
Hospice 2012, LLC Family Medicine Past Accepting new patients
Our Lady of the Lake Physician Group LLC Past Accepting new patients
Nexion Health at Gonzales, Inc. Past Accepting new patients
Commcare Corporation Past Accepting new patients
Post Acute Holdings LLC Family Medicine Past Accepting new patients
Baton Rouge General Physicians, Inc. Family Medicine Past Accepting new patients
Commcare Corporation Past Accepting new patients
Ascension Care Center Past Accepting new patients
Clarity Health Services SC, L.L.C. Family Medicine Past Accepting new patients
Baton Rouge General Physicians, Inc. Family Medicine Past Accepting new patients

Locations

4250 Essen Ln
Baton Rouge, LA 70809
Phone (225) 765-3076

5550 Thomas Rd
Baton Rouge, LA 70811
Phone (225) 774-2141

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

7435 Bishop Ott Dr
Baton Rouge, LA 70806
Phone (225) 216-3604

8119 Picardy Ave
Baton Rouge, LA 70809

8340 Baringer Foreman Rd
Baton Rouge, LA 70817
Phone (225) 753-3203

8415 Goodwood Blvd
Ste 105
Baton Rouge, LA 70806
Phone (225) 765-4226

9105 Oxford Place Dr
Baton Rouge, LA 70809
Phone (225) 293-1003

9919 Jefferson Hwy
Baton Rouge, LA 70809
Phone (225) 293-1434

26739 LA Highway 1032
Denham Springs, LA 70726
Phone (225) 665-5544

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Our Lady of the Lake Regional Medical CenterBaton Rouge, LA, CCN 195566 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 10, 2022
Jan 10, 2022

Owned or controlled facilities with NPI records 1

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

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1215934377",
    "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": "225-765-5727",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8119 PICARDY AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093515",
            "telephone_number": "225-765-3076",
            "fax_number": "225-765-1076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17520 Old Jefferson Hwy",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Prairieville",
            "state": "LA",
            "postal_code": "707693929",
            "country_code": "US",
            "telephone_number": "225-673-8983",
            "fax_number": "225-677-8983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CURTIS",
        "first_name": "ELIZABETH",
        "middle_name": "BONFANTI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "022589",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "LA",
            "license": "022589",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080139833",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "249444YJXR",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1490008",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "8119 Picardy Ave",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708093515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ecurtis409232@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ecurtis409232@direct.casso.us.com",
            "address_1": "8119 Picardy Ave",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708093515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.