Active NPI
Jeffrey Douglas Fontenot, MD
- Internal Medicine Physician
- Broussard, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 328521
- Practice address
- 1122 South Bernard Rd
Suite B
Broussard, LA 70518 - Phone
- (337) 289-8933
- NPI assigned
- Mar 21, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 328521 | LA | Primary |
Addresses
Primary practice location
1122 South Bernard Rd
Suite B
Broussard, LA 70518
Mailing address
PO Box 53092
Lafayette, LA 70505-3092
Phone (337) 289-8933
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1122 S Bernard Rd
Suite B
Broussard, LA 70518-7054
Phone (337) 703-6456
Hospital & facility affiliations
- Lourdes Home Health
- Ochsner Lafayette General Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acadiana Imaging Services LLC | Current | Accepting new patients | |
| Lafayette Health Ventures, Inc. | Current | Accepting new patients | |
| Lafayette Health Ventures Inc | Current | Accepting new patients | |
| Lafayette Health Ventures Inc | Current | Accepting new patients | |
| Lafayette Health Ventures, Inc | Internal Medicine | Past | Accepting new patients |
Locations
1122 S Bernard Rd
Ste C
Broussard, LA 70518
Phone (337) 703-6476
1122 S Bernard Rd
Ste B
Broussard, LA 70518
Phone (337) 289-8933
1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222
4906 Ambassador Caffery Pkwy
Ste 1302
Lafayette, LA 70508
Phone (337) 235-7743
2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000
4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201
1216 Camellia Blvd
Lafayette, LA 70508
Phone (337) 769-0069
508 E Bridge St
Saint Martinville, LA 70582
Phone (337) 342-2706
2810 Bonin Rd
Youngsville, LA 70592
Phone (337) 857-5765
Interoperability endpoints
- jfontenot1420784@direct.ochsner.org
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.
-
- Family Medicine Physician
- Lafayette, LA
- NPI 1417986092
-
- Radiology Clinic/Center
- Lafayette, LA
- NPI 1710756911
-
- Anesthesiology Physician
- Jennings, LA
- NPI 1063124568
-
- Hematology & Oncology Physician
- New Iberia, LA
- NPI 1336528355
-
- Internal Medicine Physician
- Lafayette, LA
- NPI 1467687186
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1275536799
-
- Home Health Agency
- Lafayette, LA
- NPI 1598829129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635897600000",
"number": "1346744570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 53092",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705053092",
"telephone_number": "337-289-8933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1122 SOUTH BERNARD RD",
"address_2": "SUITE B",
"city": "BROUSSARD",
"state": "LA",
"postal_code": "70518",
"telephone_number": "337-289-8933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTENOT",
"first_name": "JEFFREY",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-21",
"last_updated": "2021-11-03",
"certification_date": "2021-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "328521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broussard, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.