Individual provider Active NPI

Kenneth E. McDonald III, M.D.

  • Family Medicine Physician
  • Delhi, LA
National Provider Identifier
1336110907
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
013381 Issued in LA
Practice address
508 Broadway St
Delhi, LA 71232-3002
Phone
(318) 878-3737
Fax
(318) 878-8638
NPI assigned
Jan 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 013381 LA Primary

Addresses

Primary practice location

508 Broadway St
Delhi, LA 71232-3002

Mailing address

508 Broadway St
Delhi, LA 71232-3002
Phone (318) 878-3737

Other identifiers 2

IdentifierTypeStateIssuer
013381OtherLALICENSE
1188476MedicaidLA

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
I20100702000031 LA Practitioner - Family Practice 5496886665 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Service District No 1a of the Parish of Richland State of laGroup PAC ID 1456307230, shared by 10 NPIs, 31 clinicians

Practice addresses (Care Compare)

407 Cincinnati St
Delhi, LA 71232-3007
Phone (318) 878-5171

Hospital & facility affiliations

  • Delhi Home Care Home health agency, Delhi, LA, CCN 197089
  • Crossroads Hospice, LLC Hospice, Delhi, LA, CCN 191651
  • Richland Parish Hospital-Delhi Hospital, Delhi, LA, CCN 191323
  • Richland Parish Hospital-Delhi Nursing home, CCN 19Z323

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Service District No 1-a of the Parish of Richland State of la CurrentSince Feb 1, 1984 Accepting new patients
Hospital Service District No 1-a of the Parish of Richland State of la Current Accepting new patients
Hospital Service District No 1-a of the Parish of Richland State of la Family Medicine CurrentSince Feb 1, 1984 Accepting new patients
Hospital Service District No 1-a of the Parish of Richland State of la Past Accepting new patients
Crossroads Hospice, LLC Family Medicine Past Accepting new patients

Locations

501 Broadway St
Delhi, LA 71232
Phone (318) 878-6650

407 Cincinnati St
Delhi, LA 71232
Phone (318) 878-5171

508 Broadway St
Delhi, LA 71232
Phone (318) 878-3737

Interoperability endpoints

  • Direct secure messaging: kenneth.mcdonald.1@13199.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Crossroads Hospice LLCDelhi, LA, CCN 191651 Hospice Corporate Director (100%) Jun 15, 2007

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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 4

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1336110907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 BROADWAY ST",
            "city": "DELHI",
            "state": "LA",
            "postal_code": "712323002",
            "telephone_number": "318-878-3737",
            "fax_number": "318-878-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 BROADWAY ST",
            "city": "DELHI",
            "state": "LA",
            "postal_code": "712323002",
            "telephone_number": "318-878-3737",
            "fax_number": "318-878-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "KENNETH",
        "middle_name": "E.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "013381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "013381",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1188476",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delhi, LA

Sources for this page

Verify at the official NPI Registry.