Jacob James Sandoz, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

327599 Issued in LA

Practice address

210 Champagne Blvd
Breaux Bridge, LA 70517-3700

Phone

(337) 332-2178

NPI assigned

Apr 2, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Family Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vermilion Emergency Group LLCGroup PAC ID 8820148554, 14 clinicians

St Martin Emergency Group LLCGroup PAC ID 0840444683, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Abrom Kaplan Memorial Hospital Hospital, Kaplan, LA, CCN 191322
• Ochsner St Martin Hospital Hospital, Breaux Bridge, LA, CCN 191302

Merit-based Incentive Payment System (MIPS)

Final score

96 of 100Reported as group

Quality

78.84

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

91.08 of 100Reported as group

Quality

84.35

Improvement activities

40

Cost

72.56

Merit-based Incentive Payment System (MIPS)

Final score

93.41 of 100Reported as group

Quality

84.84

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• St Martin Emergency Group LLC

  • Emergency Medicine Physician
  • Breaux Bridge, LA
  • NPI 1710231774
  Medicare reassignment Care Compare group NPD
• Vermilion Emergency Group LLC

  • Emergency Medicine Physician
  • Kaplan, LA
  • NPI 1215161096
  Medicare reassignment Care Compare group NPD
• Eunice Emergency Group LLC

  • Emergency Medicine Physician
  • Eunice, LA
  • NPI 1104895689
  Medicare reassignment

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

• Kaplan General Hospital, Inc.

  • Critical Access Hospital
  • Kaplan, LA
  • NPI 1245617562
  Care Compare affiliation
• St Martin Hospital, Inc.

  • Critical Access Hospital
  • Breaux Bridge, LA
  • NPI 1437482817
  Care Compare affiliation

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1285130914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 RICHLAND AVE UNIT 106C",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086797",
            "telephone_number": "337-247-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CHAMPAGNE BLVD",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705173700",
            "telephone_number": "337-332-2178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2810 Bonin Rd",
            "address_purpose": "LOCATION",
            "city": "Youngsville",
            "state": "LA",
            "postal_code": "705925600",
            "country_code": "US",
            "telephone_number": "337-857-5765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Kings Highway",
            "address_2": "Family Medicine",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "71103",
            "country_code": "US",
            "telephone_number": "318-626-0014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDOZ",
        "first_name": "JACOB",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-02",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "327599",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "327599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devinn Kristen Rolland, PHARMD
• Marcus Roy
• Saint Michael Health Care, LLC
• Carmanlita Sampson
• Brittney Alexander Sanders, FNP-C
• Stacey Savoy, NP-C
• Tamika Scott, MS, ABA, QMHA, QIDP
• Summer Seal, PLPC
• Allison T. Seilhan, RPH
• Tracy Senegal

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.