Individual provider Active NPI

Jennifer Kent Malin, MD

  • Rheumatology Physician
  • Lafayette, LA
National Provider Identifier
1316997984
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
019335 Issued in LA
Practice address
4212 W Congress St Ste 2300a
Lafayette, LA 70506-6778
Phone
(337) 237-7801
Fax
(337) 235-1865
NPI assigned
May 12, 2006
Last updated
Jul 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 019335 LA Primary

Addresses

Primary practice location

4212 W Congress St Ste 2300a
Lafayette, LA 70506-6778

Mailing address

4212 W Congress St Ste 2300a
Lafayette, LA 70506-6778
Phone (337) 237-7801

Other identifiers 1

IdentifierTypeStateIssuer
1968633MedicaidLA

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
I20080513000746 LA Practitioner - RheumatologyPractitioner - Internal Medicine 8224107503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Tulane University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lafayette Arthritis and Endocrine Clinic ApmcGroup PAC ID 1759301203, 12 clinicians

Practice addresses (Care Compare)

4212 W Congress St
Suite 2300a
Lafayette, LA 70506-6778
Phone 3372377801206

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.09 of 100Reported as individual
Quality
80.19
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019335LAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Arthritis and Endocrine Clinic Apmc Rheumatology CurrentSince Apr 1, 1990 Accepting new patients

Locations

401 Audubon Blvd
Ste 102B
Lafayette, LA 70503
Phone (337) 237-7801

4212 W Congress St
Ste 2300A
Lafayette, LA 70506
Phone (337) 237-7801

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBHACA
  • Direct secure messaging: jennifer.malin@laec.eclinicaldirectplus.com

Organizations & group practices 1

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1316997984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 W CONGRESS ST STE 2300A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066778",
            "telephone_number": "337-237-7801",
            "fax_number": "337-235-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 W CONGRESS ST STE 2300A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066778",
            "telephone_number": "337-237-7801",
            "fax_number": "337-235-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIN",
        "first_name": "JENNIFER",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "LA",
            "license": "019335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1968633",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.