Individual provider Active NPI

Michael Kevin Puyau, M.D.

  • Surgery Physician
  • Baton Rouge, LA
National Provider Identifier
1467598102
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
017436 Issued in LA
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

Updated by the provider on Jan 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
55136OtherLAMEDICARE 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

OrganizationSpecialtyStatusNew patients
Stanocola Employees Medical and Hospital Association, Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.