Jahanyar Khorsandi, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

023722 Issued in LA

Practice address

209 Champagne Blvd.
Breaux Bridge, LA 70517-3448

Phone

(337) 332-0222

Fax

(337) 332-1102

NPI assigned

Apr 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Family Practice

Education

Louisiana State University School of Medicine in New Orleans, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Acadian Homecare, LLC Home health agency, Lafayette, LA, CCN 197060
• Nursing Specialties Home health agency, Lafayette, LA, CCN 197297
• Ochsner St Martin Hospital Hospital, Breaux Bridge, LA, CCN 191302
• Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002
• St. Agnes Healthcare and Rehab Center Nursing home, Breaux Bridge, LA, CCN 195313

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

94.08

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Med Ed of Louisiana, Inc.

  • Family Medicine Physician
  • Breaux Bridge, LA
  • NPI 1114086576
  Medicare reassignment NPD Authorized official
• Acadiana Medicine Clinic, Apmc

  • Internal Medicine Physician
  • Opelousas, LA
  • NPI 1245364819
  NPD (past)
• Hospital Service District No. 2

  • Critical Access Hospital
  • Breaux Bridge, LA
  • NPI 1548263262
  NPD (past)
• St. Agnes Healthcare & Rehab Center,Inc.

  • Skilled Nursing Facility
  • Breaux Bridge, LA
  • NPI 1942291778
  NPD (past)

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

• Acadian Homecare, LLC

  • Home Health Agency
  • Lafayette, LA
  • NPI 1275580151
  Care Compare affiliation
• Lafayette General Medical Center Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1275536799
  Care Compare affiliation
• Nsi, Inc.

  • Home Health Agency
  • Lafayette, LA
  • NPI 1528138112
  Care Compare affiliation
• St Martin Hospital, Inc.

  dba St Martin Hospital

  • Critical Access Hospital
  • Breaux Bridge, LA
  • NPI 1437482817
  Care Compare affiliation
• St. Agnes Healthcare & Rehab Center,Inc.

  • Skilled Nursing Facility
  • Breaux Bridge, LA
  • NPI 1942291778

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1215990932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 CHAMPAGNE BLVD.",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705173448",
            "telephone_number": "337-332-0222",
            "fax_number": "337-332-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 CHAMPAGNE BLVD.",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705173448",
            "telephone_number": "337-332-0222",
            "fax_number": "337-332-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHORSANDI",
        "first_name": "JAHANYAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "023722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1484687",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justyn Charles Enterprises LLC
• Kastak Services, L.L.C. (Hollier's Family Pharmacy)
• Sharell Kately
• Kennedy Facial Plastic Surgery
• Paige Marie Kennedy, M.D.
• Jonathan Kneisler
• Kevin Labry, DPT
• Adam Lafleur, PT
• Lakeshore Home Health Care, LLC
• Leandra Lambert

• Family Medicine Physician in Breaux Bridge, LA
• Providers in Breaux Bridge, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.