Active NPI
Michael John Benoit, M.D.
- Pediatric Adolescent Medicine Physician
- Jennings, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 024980
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45-0506014 | Other | TAX ID | |
| 1445151 | Medicaid | LA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041013000007 | LA | Practitioner - Pediatric Medicine | 6002876224 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric 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
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
- Acadia General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024980 | LA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner American Legion Hospital LLC | Current | Accepting new patients | |
| Ochsner American Legion Hospital LLC | Internal Medicine | Current | Accepting new patients |
| Ochsner American Legion Hospital LLC | Internal Medicine | Current | Accepting new patients |
| Michael Benoit, Apmc | Internal Medicine | Past | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Jennings, LA
- NPI 1811630981
Internal Medicine, LA
-
- Rural Health Clinic/Center
- Lake Arthur, LA
- NPI 1104576289
-
- Internal Medicine Physician
- Welsh, LA
- NPI 1538819628
Internal Medicine
-
- Pediatric Adolescent Medicine Physician
- Jennings, LA
- NPI 1417994989
Internal Medicine
-
- General Acute Care Hospital
- Jennings, LA
- NPI 1184373268
-
- Rural Health Clinic/Center
- Jennings, LA
- NPI 1093465163
-
- Clinic Pharmacy
- Jennings, LA
- NPI 1366161234
-
- Medicare Defined Swing Bed Hospital Unit
- Jennings, LA
- NPI 1467195289
-
- Rural Health Clinic/Center
- Jennings, LA
- NPI 1538800503
-
- Rural Health Clinic/Center
- Eunice, LA
- NPI 1992455083
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jennings, LA
- NPI 1184373268
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.