NPIMap

Individual provider Active NPI

Henry Joseph Kaufman III, M.D.

  • Surgery Physician
  • New Iberia, LA
National Provider Identifier
1477510535
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
011444 Issued in LA
Practice address
600 N Lewis St
New Iberia, LA 70563-2043
Phone
(800) 893-9698
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 011444 LA Primary
Emergency Medicine Physician 207P00000X 011444 LA

Addresses

Primary practice location

600 N Lewis St
New Iberia, LA 70563-2043

Mailing address

4724 Whitehaven St
Baton Rouge, LA 70808-3878

Other identifiers 1

IdentifierTypeStateIssuer
1143103MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040623000819 LA Practitioner - Emergency MedicinePractitioner - General Surgery 9537144456 Reassigns benefits to 8 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
011444LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Dec 5, 2018 Accepting new patients
Homer Memorial Hospital CurrentSince Nov 7, 2018 Accepting new patients
Jefferson Davis Emergency Group LLC Emergency Medicine CurrentSince Dec 20, 2014 Accepting new patients
Crowley Emergency Group LLC Emergency Medicine CurrentSince Oct 30, 2014 Accepting new patients
Homer Memorial Hospital Emergency Medicine CurrentSince Nov 7, 2018 Accepting new patients
Concord North Texas, PLLC Emergency Medicine CurrentSince Feb 19, 2023 Accepting new patients
Opelousas Emergency Group LLC Emergency Medicine CurrentSince Nov 16, 2009 Accepting new patients
South Central Physicians PLLC CurrentSince Jul 2, 2020 Accepting new patients
Abbeville Emergency Group LLC Emergency Medicine CurrentSince Dec 14, 2014 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Dec 5, 2018 Accepting new patients
Sulphur Emergency Group LLC Emergency Medicine Past Accepting new patients
C & M Medical Services, Inc. Past Accepting new patients

Locations

118 N Hospital Dr
Abbeville, LA 70510
Phone (337) 893-5466

323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600

1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

620 E College St
Homer, LA 71040
Phone (318) 927-2024

1634 Elton Rd
Jennings, LA 70546
Phone (337) 616-7000

165 Beech Springs Rd
Jonesboro, LA 71251
Phone (318) 259-4435

539 E Prudhomme St
Opelousas, LA 70570
Phone (337) 943-7128

Organizations & group practices 12

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1477510535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4724 WHITEHAVEN ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708083878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N LEWIS ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632043",
            "telephone_number": "800-893-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "HENRY",
        "middle_name": "JOSEPH",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "011444",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "011444",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1143103",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

Verify at the official NPI Registry.