Individual provider Active NPI

Jesse Kevin Duplechain, M.D. II APMC

  • Otolaryngology Physician
  • Lafayette, LA
National Provider Identifier
1477522068
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
018195 Issued in LA
Practice address
1103 Kaliste Saloom Rd
Suite 300
Lafayette, LA 70508-5705
Phone
(337) 456-3282
Fax
(337) 456-3491
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 018195 LA Primary

Addresses

Primary practice location

1103 Kaliste Saloom Rd
Suite 300
Lafayette, LA 70508-5705

Mailing address

1103 Kaliste Saloom Rd Ste 300
Lafayette, LA 70508-5784
Phone (337) 456-3282

Other identifiers 1

IdentifierTypeStateIssuer
1372889MedicaidLA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100112000193 LA Practitioner - Otolaryngology 6800884438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1103 Kaliste Saloom Rd
Suite 300
Lafayette, LA 70508-5784
Phone (337) 456-3282

Hospital & facility affiliations

  • Lafayette Surgical Specialty Hospital Hospital, Lafayette, LA, CCN 190259
  • Lake Charles Memorial Hospital Hospital, Lake Charles, LA, CCN 190060

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018195LAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1477522068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 KALISTE SALOOM RD STE 300",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085784",
            "telephone_number": "337-456-3282",
            "fax_number": "337-456-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 KALISTE SALOOM RD",
            "address_2": "SUITE 300",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085705",
            "telephone_number": "337-456-3282",
            "fax_number": "337-456-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPLECHAIN",
        "first_name": "JESSE",
        "middle_name": "KEVIN",
        "credential": "M.D. II APMC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": "018195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1372889",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.