Individual provider Active NPI

Kenneth E McCarron, MD

  • Internal Medicine Physician
  • Lafayette, LA
National Provider Identifier
1366519423
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
014180 Issued in LA
Practice address
201 St Patrick St
Ste 203
Lafayette, LA 70506
Phone
(337) 261-1919
Fax
(337) 261-1599
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 014180 LA Primary

Addresses

Primary practice location

201 St Patrick St
Ste 203
Lafayette, LA 70506

Mailing address

1211 Coolidge Blvd
Ste 301
Lafayette, LA 70503-2636
Phone (337) 261-1919

Other identifiers 1

IdentifierTypeStateIssuer
1310026MedicaidLA

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
I20090902000723 LA Practitioner - Internal Medicine 7113072778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians

Practice addresses (Care Compare)

457 Heymann Blvd
Lafayette, LA 70503-2616
Phone (337) 289-8816

Hospital & facility affiliations

  • Vitalcaring Group Home health agency, Lafayette, LA, CCN 197612
  • Nursing Specialties Home health agency, Lafayette, LA, CCN 197297
  • Unity Home Health Home health agency, Breaux Bridge, LA, CCN 197795
  • Acadian Homecare, LLC Home health agency, Lafayette, LA, CCN 197060
  • Lourdes Home Health Home health agency, Lafayette, LA, CCN 197057
  • Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002
  • Ochsner St Martin Hospital Hospital, Breaux Bridge, LA, CCN 191302
  • Our Lady of Lourdes Regional Medical Center, Inc Hospital, Lafayette, LA, CCN 190102
  • Abbeville General Hospital Hospital, Abbeville, LA, CCN 190034
  • Iberia Medical Center Hospital, New Iberia, LA, CCN 190054

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
014180LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Health Ventures Inc Current Accepting new patients
Lafayette Health Ventures, Inc Internal Medicine CurrentSince May 1, 2022 Accepting new patients
Lafayette Health Ventures Inc CurrentSince May 1, 2022 Accepting new patients
Lafayette Health Ventures, Inc Internal Medicine Past Accepting new patients

Locations

1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222

1211 Coolidge Blvd
Ste 301
Lafayette, LA 70503
Phone (337) 261-1919

457 Heymann Blvd
Lafayette, LA 70503
Phone (337) 232-8511

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

Interoperability endpoints

  • Direct secure messaging: kmccarron1099197@direct.ochsner.org

Organizations & group practices 4

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 11

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1366519423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 COOLIDGE BLVD",
            "address_2": "STE 301",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032636",
            "telephone_number": "337-261-1919",
            "fax_number": "337-261-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ST PATRICK ST",
            "address_2": "STE 203",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70506",
            "telephone_number": "337-261-1919",
            "fax_number": "337-261-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARRON",
        "first_name": "KENNETH",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "014180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1310026",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.