Louis George Dusseault Jr., M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME139426 Issued in FL

Practice address

7717 Collier Blvd Unit 202
Naples, FL 34114-2769

Phone

(239) 624-8300

Fax

(239) 624-8241

NPI assigned

Jun 1, 2005

Last updated

Aug 13, 2019By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Carlos Portu MD PLLC

  • Internal Medicine Physician
  • Naples, FL
  • NPI 1184119810
  Medicare reassignment NPD
• Associates in Internal Medicine Inc

  • Internal Medicine Physician
  • Norwood, MA
  • NPI 1528030509
  NPD (past)
• Medical Associates of New England

  • Internal Medicine Physician
  • Norwood, MA
  • NPI 1811063688
  NPD (past)
• Revere Medical of Massachusetts, PC

  • Internal Medicine Physician
  • Brockton, MA
  • NPI 1336976539
  NPD (past)

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1457353799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7717 COLLIER BLVD UNIT 202",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341142769",
            "telephone_number": "239-624-8300",
            "fax_number": "239-624-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7717 COLLIER BLVD UNIT 202",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341142769",
            "telephone_number": "239-624-8300",
            "fax_number": "239-624-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSSEAULT",
        "first_name": "LOUIS",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "56357",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME139426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102793800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "WATVX",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Durak
• Inti Duran Quesada
• Stephen E Durand, APRN
• Dianne Lee Durante, ED.S., LMFT
• James Joseph Durkin, H.I.S
• Sara Dust, MS, RD, RDN
• Lydia Rosamond Duvall, DO
• Lourbiane Duverseau
• Dva Renal Healthcare, Inc. (Naples Dialysis)
• Dwic of Tampa Bay, Inc (MedExpress Urgent Care - Golden Gate, Collier Blvd)

• Internal Medicine Physician in Naples, FL
• Providers in Naples, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.