Juan C Duchesne, MD

Primary specialty

Surgical Critical Care PhysicianTaxonomy code 2086S0102X

License

18947 Issued in MS

Practice address

1430 Tulane Ave # SL-22
New Orleans, LA 70112-2632

Phone

(504) 988-5111

Fax

(214) 978-6901

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS, LA2 enrollments

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 2

Specialty

General Surgery

Education

Ponce School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

State of Mississippi - University of Mississippi Medical CenterGroup PAC ID 1850293036, 956 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Mississippi Med Center Hospital, Jackson, MS, CCN 250001
• Anderson Regional Medical Center Hospital, Meridian, MS, CCN 250104

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• State of Mississippi - University of Mississippi Medical Center

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1154317527
  Medicare reassignment Care Compare group NPD
• Administrators of the Tulane Educational Fund

  dba Tulane University Medical Center NorthShore Clinics

  • Specialist
  • Covington, LA
  • NPI 1245434224
  Medicare reassignment NPD
• Administrators of the Tulane Educational Fund

  dba Tulane University Medical Group

  • Specialist
  • New Orleans, LA
  • NPI 1528014164
  Medicare reassignment NPD
• Lsu Health Sciences Center Shreveport Faculty Group Practice

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1013374222

  Surgery

  Medicare reassignment NPD
• Administrators of the Tulane Educational Fund

  • Specialist
  • Hattiesburg, MS
  • NPI 1033395298
  NPD
• State of Mississippi - University of Mississippi Medical Center

  • Prosthetic/Orthotic Supplier
  • Jackson, MS
  • NPI 1235019530
  NPD
• State of Mississippi-University of Mississippi Medical Center

  • Nurse Practitioner
  • Jackson, MS
  • NPI 1699857433
  NPD
• The Administrators of the Tulane Educational Fund

  dba Affiliated Services Billing-HPL

  • Specialist
  • New Orleans, LA
  • NPI 1437365863
  NPD (past)
• University Medical Center Management Corporation

  dba University Medical Center New Orleans

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1568403111
  NPD (past)
• University Surgery Associates, PLLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Jackson, MS
  • NPI 1356451652
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Anderson Regional Medical Center

  dba Baptist Anderson Regional Medical Center

  • General Acute Care Hospital
  • Meridian, MS
  • NPI 1649226952
  Care Compare affiliation
• State of Mississippi - University of Mississippi Medical Center

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1154317527
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1376624213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE # SL-22",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-5111",
            "fax_number": "214-978-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE # SL-22",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-5111",
            "fax_number": "214-978-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCHESNE",
        "first_name": "JUAN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "LA",
            "license": "MD.025448",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "MS",
            "license": "18947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07679320",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keshia Michelle Dubuclet, MHP
• Roberta Dubuclet
• Timia Dubuclet
• Cecilia Antunez Duchamp, M.D.
• Rose Mary Duchane, PHARMD
• Kristy Felo Duckworth
• Adam James Ducoing, PT, DPT
• Charlotte Ducote, PHD, CCC-SLP
• Jennifer Melton Ducote, FNP-C
• Sara Ducote

• Surgical Critical Care Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Surgical Critical Care Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.

Verify at the official NPI Registry.