Individual provider Active NPI

Ernesto A Kufoy, M.D

  • Specialist
  • Deridder, LA
National Provider Identifier
1295792596
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
11431R Issued in LA
Practice address
311 S Pine St
Deridder, LA 70634-4837
Phone
(337) 463-3500
Fax
(337) 463-3526
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 11431R LA Primary

Addresses

Primary practice location

311 S Pine St
Deridder, LA 70634-4837

Mailing address

311 S Pine St
Deridder, LA 70634-4837
Phone (337) 463-3500

Other names 1

  • Dr. Ernesto A Kufoy Professional name

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
I20080826000029 LA Practitioner - Internal MedicinePractitioner - OphthalmologyPractitioner - Nuclear Medicine 2567537665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nuclear Medicine, Ophthalmology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

311 S Pine St
Deridder, LA 70634-4837
Phone (337) 463-3500

Hospital & facility affiliations

  • Elara Caring Home health agency, Leesville, LA, CCN 197260
  • Beauregard Home Health Home health agency, Deridder, LA, CCN 197183
  • Beauregard Memorial Hospital Hospital, Deridder, LA, CCN 190050

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11431RLAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kufoy Medical Clinic Internal Medicine CurrentSince Jun 17, 2008 Accepting new patients
Kufoy Medical Clinic Past Accepting new patients
St. Marys Laboratory Past Accepting new patients

Locations

311 S Pine St
Deridder, LA 70634
Phone (337) 463-3500

311 S Pine St
#A
Deridder, LA 70634

Interoperability endpoints

  • Direct secure messaging: ernesto.kufoy@666278599393284.direct.elationemr.com
  • Direct secure messaging: ernestokufoy@kumc.allscriptsdirect.net

Organizations & group practices 3

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 3

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295792596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S PINE ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344837",
            "telephone_number": "337-463-3500",
            "fax_number": "337-463-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S PINE ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344837",
            "telephone_number": "337-463-3500",
            "fax_number": "337-463-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUFOY",
        "first_name": "ERNESTO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "11431R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERNESTO",
            "last_name": "KUFOY",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Deridder, LA

Sources for this page

Verify at the official NPI Registry.