NPIMap

Organization Active NPI

Mary Bird Perkins Cancer Center

  • Clinical Medical Laboratory
  • Baton Rouge, LA
National Provider Identifier
1295833580
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MARY BIRD PERKINS CANCER CENTER
Practice address
4950 Essen Lane
Baton Rouge, LA 70809
Phone
(225) 215-1223
Fax
(225) 766-0218
NPI assigned
Sep 20, 2006
Last updated
Aug 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Jacob Kraft
Title
Decision Support Manager
Phone
(225) 215-1281

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085N0904X
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

4950 Essen Lane
Baton Rouge, LA 70809

Mailing address

5215 Essen LN Ste 200
Baton Rouge, LA 70809-3543
Phone (225) 215-1281

Other practice location 1

2106 Loop Rd Ste Bb
Winnsboro, LA 71295-3345
Phone (318) 239-4860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20070206000329 LA Part B Supplier - Radiation Therapy Center 4385646280 Receives reassigned benefits from 109 practitioners
Practice locations: Leesville, LA; Metairie, LA; Minden, LA; Natchitoches, LA; Opelousas, LA; Shreveport, LA; Slidell, LA; Springhill, LA…
O20190702001668 MS Part B Supplier - Radiation Therapy Center 4385646280 Receives reassigned benefits from 9 practitioners
Practice locations: Natchez, MS
O20231106000066 LA Part B Supplier - Independent Clinical Laboratory 4385646280 Receives reassigned benefits from 1 practitioner
Practice locations: Baton Rouge, LA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D0464589Franklin Medical Center2106 Loop Road, Winnsboro, LA 71295AccreditationFeb 27, 2027
19D0886998Mary Bird Perkins Cancer Center4950 Essen Lane, Baton Rouge, LA 70809Certificate of waiverJun 1, 2028
19D2278912Mary Bird Perkins4950 Essen Lane, Suite 300, Baton Rouge, LA 70809AccreditationFeb 20, 2028

National Provider Directory

National Provider Directory

Locations

3516 North Blvd
Alexandria, LA 71301

4951 Essen LN Ste 500
Baton Rouge, LA 70809

5215 Essen Ln
Ste 200
Baton Rouge, LA 70809

110 Lakeview Dr
Covington, LA 70433
Phone (985) 898-1940

1203 S Tyler St
Covington, LA 70433
Phone (985) 875-2234

8120 Main St
Ste 102A
Houma, LA 70360
Phone (985) 876-9045

165 Beech Springs Rd
Jonesboro, LA 71251
Phone (318) 259-4435

166 Beech Springs Rd
Jonesboro, LA 71251
Phone (318) 259-3668

1000 N 5th St
Leesville, LA 71446
Phone (337) 238-3475

4278 University Pkwy
Ste 4
Natchitoches, LA 71457
Phone (318) 581-4003

1570 Lindberg Dr
Ste 12
Slidell, LA 70458
Phone (985) 641-1963

401 11th St NE
Springhill, LA 71075
Phone (318) 539-1700

Practitioners & affiliated clinicians

Practitioners 140

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 140

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1295833580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 ESSEN LN STE 200",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093543",
            "telephone_number": "225-215-1281",
            "fax_number": "225-215-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 ESSEN LANE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70809",
            "telephone_number": "225-215-1223",
            "fax_number": "225-766-0218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2106 Loop Rd Ste Bb",
            "address_purpose": "LOCATION",
            "city": "Winnsboro",
            "state": "LA",
            "postal_code": "712953345",
            "country_code": "US",
            "telephone_number": "318-239-4860",
            "fax_number": "318-412-2258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARY BIRD PERKINS CANCER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "KRAFT",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "DECISION SUPPORT MANAGER",
        "authorized_official_telephone_number": "225-215-1281"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Nuclear Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.