Active NPI
Michael Kevin Puyau, M.D.
- Surgery Physician
- Baton Rouge, LA
National Provider Identifier
1467598102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 017436
- Practice address
- 500 Rue de la Vie St Ste 402
Baton Rouge, LA 70817-5129 - Phone
- (225) 924-7588
- NPI assigned
- Jan 29, 2007
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 017436 | LA | Primary |
Addresses
Primary practice location
500 Rue de la Vie St Ste 402
Baton Rouge, LA 70817-5129
Mailing address
500 Rue de la Vie St Ste 402
Baton Rouge, LA 70817-5129
Phone (225) 215-7588
Other practice location 1
500 Rue De La Vie St
Suite 407
Baton Rouge, LA 70817-5127
Phone (225) 215-7588
Other practice location 2
500 Rue De La Vie St Ste 402
Baton Rouge, LA 70817-5129
Phone (225) 924-7588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55136 | Other | LA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanocola Employees Medical and Hospital Association, Inc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HHFDBA/Endpoint/HHFDBA
Organizations & group practices 1
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.
-
- Specialist
- Baton Rouge, LA
- NPI 1275694804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547769600000",
"number": "1467598102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 RUE DE LA VIE ST STE 402",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708175129",
"telephone_number": "225-215-7588",
"fax_number": "225-928-8860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 RUE DE LA VIE ST STE 402",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708175129",
"telephone_number": "225-924-7588"
}
],
"practiceLocations": [
{
"address_1": "500 Rue De La Vie St",
"address_2": "Suite 407",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708175127",
"country_code": "US",
"telephone_number": "225-215-7588",
"fax_number": "225-928-8860",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Rue De La Vie St Ste 402",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708175129",
"country_code": "US",
"telephone_number": "225-924-7588",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PUYAU",
"first_name": "MICHAEL",
"middle_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2019-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "LA",
"license": "017436",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "55136",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.