Individual provider Active NPI

John Patrick Segura, M.D.

  • Family Medicine Physician
  • Jennings, LA
National Provider Identifier
1376742460
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD202491 Issued in LA
Practice address
1636 Elton Rd
Suite 204
Jennings, LA 70546-3648
Phone
(337) 824-7833
Fax
(337) 824-7834
NPI assigned
Jul 17, 2007
Last updated
Jul 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD202491 LA Primary

Addresses

Primary practice location

1636 Elton Rd
Suite 204
Jennings, LA 70546-3648

Mailing address

1636 Elton Rd
Suite 204
Jennings, LA 70546-3648
Phone (337) 824-7833

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
I20100915000785 LA Practitioner - Family Practice 5092849406 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1636 Elton Rd
Suite 204
Jennings, LA 70546-3648
Phone (337) 824-7833

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD202491LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Segura Family Medicine Family Medicine CurrentSince Aug 1, 2010 Accepting new patients
Jefferson Davis Physician Services, LLC CurrentSince Feb 9, 2021 Accepting new patients
Ochsner American Legion Hospital LLC Past Accepting new patients
Edwards Family Medicine a Professional Medical Corporation Family Medicine PastSince Aug 1, 2010 Accepting new patients
Jennings American Legion Hospital Inc Family Medicine PastSince May 1, 2019 Accepting new patients

Locations

1634 Elton Rd
Jennings, LA 70546
Phone (337) 616-7000

1636 Elton Rd
Ste 204
Jennings, LA 70546
Phone (337) 654-0871

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIFCDA/Endpoint/EIFCDA

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rehabilitation Hospital of JenningsJennings, LA, CCN 193067 Hospital General Partnership Interest (2.55%) Jan 1, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1376742460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 ELTON RD",
            "address_2": "SUITE 204",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705463648",
            "telephone_number": "337-824-7833",
            "fax_number": "337-824-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 ELTON RD",
            "address_2": "SUITE 204",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705463648",
            "telephone_number": "337-824-7833",
            "fax_number": "337-824-7834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGURA",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD202491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jennings, LA

Sources for this page

Verify at the official NPI Registry.