Individual provider Active NPI

Clay Nelson Boyd, M.D.

  • Urology Physician
  • Lutcher, LA
National Provider Identifier
1346249729
Registry record updated Jun 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
L016578 Issued in LA
Practice address
1645 Lutcher Ave
Lutcher, LA 70071-5150
Phone
(225) 258-2070
Fax
(225) 258-2071
NPI assigned
Jul 19, 2005
Last updated
Jun 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X L016578 LA Primary

Addresses

Primary practice location

1645 Lutcher Ave
Lutcher, LA 70071-5150

Mailing address

1645 Lutcher Ave
Lutcher, LA 70071-5150
Phone (225) 258-2070

Other identifiers 1

IdentifierTypeStateIssuer
1348635MedicaidLA

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
I20050606001060 LA Practitioner - Urology 5698718112 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Louisiana State University School of Medicine in New Orleans, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. James Parish Hosp Serv DistGroup PAC ID 3476459850, shared by 5 NPIs, 10 clinicians

Practice addresses (Care Compare)

1645 Lutcher Ave
Lutcher, LA 70071-5150
Phone (225) 258-5910

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.29 of 100Reported as group
Quality
64.64
Promoting interoperability
99
Improvement activities
40
Cost
73.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
016578LAMDPharmacist
L016578LAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. James Parish Hosp. Serv. Dist. Current Accepting new patients
St. James Parish Hosp. Serv. Dist. Current Accepting new patients
St. James Parish Hosp Serv Dist Past Accepting new patients

Locations

1645 Lutcher Ave
Lutcher, LA 70071
Phone (225) 258-5901

21420 Highway 20
Vacherie, LA 70090
Phone (225) 258-5910

Organizations & group practices 3

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 1

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497312000000",
    "number": "1346249729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 LUTCHER AVE",
            "city": "LUTCHER",
            "state": "LA",
            "postal_code": "700715150",
            "telephone_number": "225-258-2070",
            "fax_number": "225-258-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 LUTCHER AVE",
            "city": "LUTCHER",
            "state": "LA",
            "postal_code": "700715150",
            "telephone_number": "225-258-2070",
            "fax_number": "225-258-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "CLAY",
        "middle_name": "NELSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2017-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "LA",
            "license": "L016578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1348635",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutcher, LA

Sources for this page

Verify at the official NPI Registry.