Individual provider Active NPI

Jevin Yabut, DO

  • Internal Medicine Physician
  • New Orleans, LA
National Provider Identifier
1366062390
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
340665 Issued in LA
Practice address
1401 Foucher St
New Orleans, LA 70115-3515
Phone
(504) 897-7011
NPI assigned
Apr 20, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Cardiovascular Disease Physician 207RC0000X 340665 LA
Internal Medicine Physician 207R00000X 340665 LA Primary

Addresses

Primary practice location

1401 Foucher St
New Orleans, LA 70115-3515

Mailing address

433 Bolivar St
New Orleans, LA 70112-7021
Phone (504) 568-4808

Other practice location 1

555 Willard Ave
Newington, CT 06111-2631
Phone (866) 808-7921

Other practice location 2

2000 Canal St
New Orleans, LA 70112-3018
Phone (504) 702-3000

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
I20250905004406 LA Practitioner - Internal Medicine 9234671017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crescent City Physicians IncGroup PAC ID 2769370543, 158 clinicians

Practice addresses (Care Compare)

1401 Foucher St
New Orleans, LA 70115-3515
Phone (504) 897-7011

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
340665LAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crescent City Physicians, Inc. Internal Medicine CurrentSince Oct 5, 2025 Accepting new patients

Locations

2820 Canal St
New Orleans, LA 70119
Phone (504) 821-8158

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

100 W Harrison Ave
Ste 101
New Orleans, LA 70124
Phone (504) 325-2929

1100 Poydras St
Ste 2500
New Orleans, LA 70163
Phone (504) 527-9953

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1366062390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 BOLIVAR ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701127021",
            "telephone_number": "504-568-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 FOUCHER ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153515",
            "telephone_number": "504-897-7011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Willard Ave",
            "address_purpose": "LOCATION",
            "city": "Newington",
            "state": "CT",
            "postal_code": "061112631",
            "country_code": "US",
            "telephone_number": "866-808-7921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Canal St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701123018",
            "country_code": "US",
            "telephone_number": "504-702-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YABUT",
        "first_name": "JEVIN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-20",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "340665",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "340665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.