Individual provider Active NPI

Jonathan Schroeder

  • Internal Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1376802595
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.206543 Issued in LA
Practice address
5825 Airline Hwy
Baton Rouge, LA 70805-2408
Phone
(225) 358-1000
NPI assigned
May 8, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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 MD.206543 LA Primary

Addresses

Primary practice location

5825 Airline Hwy
Baton Rouge, LA 70805-2408

Mailing address

5825 Airline Hwy
Baton Rouge, LA 70805-2408
Phone (225) 358-1000

Other practice location 1

1401 N Foster Dr
Baton Rouge, LA 70806-1818
Phone (225) 358-4853

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jschroeder9077@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

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
I20150929001416 LA Practitioner - Internal Medicine 6709194558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone (225) 953-7800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of the Lake Physician Group LLC CurrentSince Aug 1, 2015 Accepting new patients
Our Lady of the Lake Physician Group LLC Internal Medicine Current Accepting new patients
Our Lady of the Lake Physician Group, LLC CurrentSince Aug 1, 2015 Accepting new patients
Our Lady of the Lake Physician Group LLC Past Accepting new patients
Lsuhn Billing LLC Past Accepting new patients
Lsuhn Billing LLC Past Accepting new patients

Locations

7777 Hennessy Blvd
Ste 701
Baton Rouge, LA 70808
Phone (225) 765-5864

2051 Silverside Dr
Ste 260
Baton Rouge, LA 70808
Phone (225) 490-6301

1401 N Foster Dr
Baton Rouge, LA 70806
Phone (225) 987-9000

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

Interoperability endpoints

  • Direct secure messaging: jschroeder9077@direct.casso.us.com

Organizations & group practices 6

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 1

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": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1376802595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 AIRLINE HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708052408",
            "telephone_number": "225-358-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 AIRLINE HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708052408",
            "telephone_number": "225-358-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 N Foster Dr",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708061818",
            "country_code": "US",
            "telephone_number": "225-358-4853",
            "fax_number": "225-987-9155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "JONATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-08",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.206543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jschroeder9077@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jschroeder9077@direct.casso.us.com",
            "address_1": "1401 N Foster Dr",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708061818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1401 N Foster Dr",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708061818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.