Active NPI
Jacob Lee Breaux, M.D.
- Gastroenterology Physician
- Lafayette, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD.207307
- Practice address
- 1211 Coolidge Blvd Ste 303
Lafayette, LA 70503 - Phone
- (337) 232-6697
- Fax
- (337) 232-6605
- NPI assigned
- Apr 12, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD.207307 | LA | Primary |
Addresses
Primary practice location
1211 Coolidge Blvd Ste 303
Lafayette, LA 70503
Mailing address
1211 Coolidge Blvd Ste 303
Lafayette, LA 70503-2636
Phone (337) 232-6697
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180807001887 | LA | Practitioner - Gastroenterology | 0042434961 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- 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)
1211 Coolidge Blvd
Suite 303
Lafayette, LA 70503-2636
Phone (337) 232-6697
Hospital & facility affiliations
- Ochsner Lafayette General Medical Center
- Our Lady of Lourdes Regional Medical Center, Inc
- Ochsner St Martin Hospital
- Acadia General Hospital
- Ochsner St Mary
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 206 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 190 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.207307 | LA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Digestive Disease Consultants, PLLC | Gastroenterology | Current | Accepting new patients |
| Louisiana Gastroenterology Associates LLC | Single Specialty | Current | Accepting new patients |
| Texas Digestive Disease Consultants PLLC | Single Specialty | Current | Accepting new patients |
Locations
118 N Hospital Dr
Fl 3
Abbeville, LA 70510
Phone (337) 893-3002
2621 North Dr
Ste B
Abbeville, LA 70510
Phone (337) 898-1860
1555 Gary Dr
#B
Breaux Bridge, LA 70517
Phone (337) 233-9900
711 N Montgomery Ave
Kaplan, LA 70548
Phone (318) 643-1747
1211 Coolidge Blvd
Ste 304
Lafayette, LA 70503
Phone (337) 236-3030
439 Heymann Blvd
Lafayette, LA 70503
Phone (337) 269-0963
1211 Coolidge Blvd
Ste 303
Lafayette, LA 70503
1211 Coolidge Blvd
#303
Lafayette, LA 70503
Phone (334) 232-6697
1211 Coolidge Blvd
Ste 400
Lafayette, LA 70503
Phone (337) 234-3278
2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000
764 N Acadia Rd
Ste A
Thibodaux, LA 70301
Phone (985) 446-1958
Interoperability endpoints
- jbreaux90221@direct.ochsner.org
Organizations & group practices 3
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.
-
- Gastroenterology Physician
- Lafayette, LA
- NPI 1366195091
LA, Single Specialty
-
- Gastroenterology Physician
- Covington, LA
- NPI 1295428415
LA, Single Specialty
-
- Gastroenterology Physician
- Thibodaux, LA
- NPI 1154837391
Gastroenterology
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1275536799
Hospital
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1598766495
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527033600000",
"number": "1437416617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 COOLIDGE BLVD STE 303",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032636",
"telephone_number": "337-232-6697",
"fax_number": "337-232-6605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 COOLIDGE BLVD STE 303",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "70503",
"telephone_number": "337-232-6697",
"fax_number": "337-232-6605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREAUX",
"first_name": "JACOB",
"middle_name": "LEE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-12",
"last_updated": "2018-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "LA",
"license": "MD.207307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.