Individual provider Active NPI

Jacob Barrow Daigle, MD

  • Surgery Physician
  • Covington, LA
National Provider Identifier
1306071469
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
206660 Issued in LA
Practice address
606 W 11TH Ave
Covington, LA 70433
Phone
(985) 892-3766
NPI assigned
May 19, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 206660 LA Primary

Addresses

Primary practice location

606 W 11TH Ave
Covington, LA 70433

Mailing address

606 W 11TH Ave
Covington, LA 70433-3630
Phone (985) 892-3766

Other practice location 1

433 Plaza St Ste 3A
Bogalusa, LA 70427-3729
Phone (985) 730-7030

Other practice location 2

601 East 15th Street; Lower Level
UTMB-Austin General Surgery Residency Program
Austin, TX 78701
Phone (512) 324-7392

Other identifiers 2

IdentifierTypeStateIssuer
04975731MedicaidMS
2367692MedicaidLA

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
I20140814002153 LA Practitioner - General Surgery 7012134083 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Louisiana State University School of Medicine in Shreveport, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1006 S Harrison St
Cardiovascular Clinic
Covington, LA 70433-3630
Phone (985) 871-4140

1202 S Tyler St
Attention Managed Care Dept.
Covington, LA 70433-2330

433 Plaza St
Bogalusa, LA 70427-3729
Phone (985) 730-6706

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)12
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
206660LAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Mar 1, 2016 Accepting new patients
St. Tammany Parish Hospital Service District No 1 CurrentSince Oct 1, 2017 Accepting new patients
Ochsner Clinic LLC Surgery Current Accepting new patients
St. Tammany Parish Hospital Service District No 1 Current Accepting new patients
Our Lady of the Angels Hospital, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Wash-St Tammany Reg Medical Center Current Accepting new patients
Ochsner Clinic LLC CurrentSince Mar 1, 2016 Accepting new patients
St Tammany Parish Hospital Service District No 1 CurrentSince Oct 1, 2017 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G PastSince Aug 1, 2014 Accepting new patients
St. Tammany Parish Hospital Service District No 1 Past Accepting new patients
Washington St. Tammany Regional Medical Center Past Accepting new patients
St. Tammany Parish Hospital Service District No 1 Past Accepting new patients

Locations

10310 The Grove Blvd
Baton Rouge, LA 70836
Phone (225) 761-5239

433 Plaza St
Bogalusa, LA 70427
Phone (985) 730-6700

433 Plaza St
Ste 3A
Bogalusa, LA 70427
Phone (985) 730-6970

728 W 11th Ave
Covington, LA 70433
Phone (985) 730-7195

900 Ochsner Blvd
Covington, LA 70433
Phone (985) 249-2383

606 W 11th Ave
Covington, LA 70433
Phone (504) 892-3766

606 W 11th Ave
#A
Covington, LA 70433
Phone (985) 892-3766

1057 Paul Maillard Rd
Ste 2210
Luling, LA 70070
Phone (985) 785-5610

1057 Paul Maillard Rd
Luling, LA 70070
Phone (985) 785-3655

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

Interoperability endpoints

  • Direct secure messaging: jdaigle5309500@direct.casso.us.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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.

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1306071469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 W 11TH AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704333630",
            "telephone_number": "985-892-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 W 11TH AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "985-892-3766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 Plaza St Ste 3A",
            "address_purpose": "LOCATION",
            "city": "Bogalusa",
            "state": "LA",
            "postal_code": "704273729",
            "country_code": "US",
            "telephone_number": "985-730-7030",
            "fax_number": "985-730-7032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 East 15th Street; Lower Level",
            "address_2": "UTMB-Austin General Surgery Residency Program",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "78701",
            "country_code": "US",
            "telephone_number": "512-324-7392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAIGLE",
        "first_name": "JACOB",
        "middle_name": "BARROW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-19",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "206660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04975731",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2367692",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.