Individual provider Active NPI

Kelly Renee Finan, MD

  • Colon & Rectal Surgery Physician
  • Baton Rouge, LA
National Provider Identifier
1295940559
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
203031 Issued in LA
Practice address
7777 Hennessy Blvd Ste 507
Baton Rouge, LA 70808-4366
Phone
(225) 767-1156
Fax
(225) 767-5980
NPI assigned
May 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25779 AL
Colon & Rectal Surgery Physician 208C00000X 203031 LA Primary

Addresses

Primary practice location

7777 Hennessy Blvd Ste 507
Baton Rouge, LA 70808-4366

Mailing address

7777 Hennessy Blvd Ste 507
Baton Rouge, LA 70808-4366
Phone (225) 767-1156

Other practice location 1

5000 Odonavan Blvd Ste 206
Walker, LA 70785-6351
Phone (225) 767-1156

Other practice location 2

70411 Highway 21
Covington, LA 70433-8243
Phone (225) 767-8977

Other identifiers 1

IdentifierTypeStateIssuer
1885100MedicaidLA

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other
Direct Messaging Address kfinan2784@direct.casso.us.com Direct

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
I20090910000101 LA Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 6406892108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
University of Cincinnati College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Our Lady of the Lake Physician Group LLCGroup PAC ID 4587849781, 637 clinicians

Practice addresses (Care Compare)

7777 Hennessy Blvd
Suite 206
Baton Rouge, LA 70808-4363
Phone (225) 767-1156

Hospital & facility affiliations

  • Womans Hospital Hospital, Baton Rouge, LA, CCN 190128
  • Our Lady of the Lake Regional Medical Center Hospital, Baton Rouge, LA, CCN 190064
  • St Tammany Parish Hospital Hospital, Covington, LA, CCN 190045

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25779ALMDSurgery Physician
203031LAMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of the Lake Physician Group LLC Surgery CurrentSince Jul 1, 2012 Accepting new patients
Our Lady of the Lake Physician Group LLC CurrentSince Jul 1, 2012 Accepting new patients
Baton Rouge Colon Rectal Associates Colon & Rectal Surgery Past Accepting new patients
Our Lady of the Lake Physician Group LLC Surgery PastSince Jan 3, 2021 Accepting new patients
University of Alabama at Birmingham Past Accepting new patients
Our Lady of the Lake Hospital Inc. Past Accepting new patients

Locations

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

4950 Essen Ln
Ste 500
Baton Rouge, LA 70809
Phone (225) 765-8823

70411 Highway 21
Covington, LA 70433
Phone (985) 288-5088

5000 Odonavan Blvd
Ste 206
Walker, LA 70785

Interoperability endpoints

  • FHIR API: https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: kfinan2784@direct.casso.us.com

Organizations & group practices 6

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 5

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.

{
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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1295940559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD STE 507",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084366",
            "telephone_number": "225-767-1156",
            "fax_number": "225-767-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD STE 507",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084366",
            "telephone_number": "225-767-1156",
            "fax_number": "225-767-5980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Odonavan Blvd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Walker",
            "state": "LA",
            "postal_code": "707856351",
            "country_code": "US",
            "telephone_number": "225-767-1156",
            "fax_number": "225-765-5980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70411 Highway 21",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704338243",
            "country_code": "US",
            "telephone_number": "225-767-8977",
            "fax_number": "225-767-5980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FINAN",
        "first_name": "KELLY",
        "middle_name": "RENEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "25779",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "LA",
            "license": "203031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1885100",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "7777 Hennessy Blvd Ste 507",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708084366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kfinan2784@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "kfinan2784@direct.casso.us.com",
            "address_1": "7777 Hennessy Blvd Ste 507",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708084366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.