Individual provider Active NPI

Michael John Benoit, M.D.

  • Pediatric Adolescent Medicine Physician
  • Jennings, LA
National Provider Identifier
1235199795
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
024980 Issued in LA
Practice address
1322 Elton Rd
Suite D
Jennings, LA 70546-4138
Phone
(337) 824-1111
Fax
(337) 824-1122
NPI assigned
Mar 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 024980 LA
Pediatric Adolescent Medicine Physician 2080A0000X 024980 LA Primary

Addresses

Primary practice location

1322 Elton Rd
Suite D
Jennings, LA 70546-4138

Mailing address

1322 Elton Rd
Suite D
Jennings, LA 70546-4138
Phone (337) 824-1111

Other identifiers 2

IdentifierTypeStateIssuer
45-0506014OtherTAX ID
1445151MedicaidLA

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
I20041013000007 LA Practitioner - Pediatric MedicinePractitioner - Internal Medicine 6002876224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Internal Medicine
Education
Louisiana State University School of Medicine in Shreveport, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner American Legion Hospital, LLC 32 clinicians

Practice addresses (Care Compare)

1322 Elton Rd
Suite F Ochsner HLTH Ctr Jennings
Jennings, LA 70546-4100
Phone (337) 824-8868

Hospital & facility affiliations

  • Ochsner American Legion Hospital Hospital, Jennings, LA, CCN 190053
  • Acadia General Hospital Hospital, Crowley, LA, CCN 190044

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024980LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner American Legion Hospital LLC CurrentSince Apr 1, 2022 Accepting new patients
Ochsner American Legion Hospital LLC Internal Medicine Current Accepting new patients
Ochsner American Legion Hospital LLC Internal Medicine CurrentSince Apr 1, 2022 Accepting new patients
Michael Benoit, Apmc Internal Medicine PastSince Apr 21, 2004 Accepting new patients
Ochsner American Legion Hospital LLC Past Accepting new patients

Locations

3256 Highway 190
Ste B
Eunice, LA 70535
Phone (337) 550-3740

1322 Elton Rd
Ste F
Jennings, LA 70546
Phone (337) 824-8868

1634 Elton Rd
Jennings, LA 70546
Phone (337) 616-7000

1636 Elton Rd
Ste 201
Jennings, LA 70546
Phone (337) 721-7236

Interoperability endpoints

  • Direct secure messaging: mbenoit1099102@direct.ochsner.org

Organizations & group practices 10

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 2

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1235199795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 ELTON RD",
            "address_2": "SUITE D",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705464138",
            "telephone_number": "337-824-1111",
            "fax_number": "337-824-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 ELTON RD",
            "address_2": "SUITE D",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705464138",
            "telephone_number": "337-824-1111",
            "fax_number": "337-824-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENOIT",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "024980",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "LA",
            "license": "024980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "45-0506014",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1445151",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jennings, LA

Sources for this page

Verify at the official NPI Registry.