Active NPI
William Samuel Kubricht III, M.D.
- Urology Physician
- Baton Rouge, LA
National Provider Identifier
1477550705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 022659
- Practice address
- 8080 Bluebonnet Blvd
Suite 3000
Baton Rouge, LA 70810-7827 - Phone
- (225) 766-8100
- Fax
- (225) 408-6867
- NPI assigned
- Jul 1, 2005
- Reactivated
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 022659 | LA | Primary |
Addresses
Primary practice location
8080 Bluebonnet Blvd
Suite 3000
Baton Rouge, LA 70810-7827
Mailing address
8080 Bluebonnet Blvd
Suite 3000
Baton Rouge, LA 70810-7827
Phone (225) 766-8100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1494887 | Medicaid | LA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Louisiana State University School of Medicine in Shreveport, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7373 Perkins Rd
Baton Rouge, LA 70808-4326
Phone (225) 246-9790
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.25 of 100
- Promoting interoperability
- 85
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022659 | LA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baton Rouge Clinic, a Medical Corporation | Urology | Current | Accepting new patients |
| Baton Rouge Clinic, a Medical Corporation | Current | Accepting new patients |
Locations
7373 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 246-9790
8080 Bluebonnet Blvd
Ste 3000
Baton Rouge, LA 70810
Phone (225) 766-8100
Interoperability endpoints
- wkubricht15245@direct.casso.us.com
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.
-
- Internal Medicine Physician
- Baton Rouge, LA
- NPI 1871546911
Urology
-
- Ophthalmology Physician
- Baton Rouge, LA
- NPI 1528941655
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Family Medicine Physician
- Baton Rouge, LA
- NPI 1184648651
Hospital
-
- Neurological Surgery Physician
- Baton Rouge, LA
- NPI 1285887844
Hospital
-
- Gastroenterology Physician
- Baton Rouge, LA
- NPI 1407346984
Hospital
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1962537407
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1588631311
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1912943184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319328000000",
"number": "1477550705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8080 BLUEBONNET BLVD",
"address_2": "SUITE 3000",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708107827",
"telephone_number": "225-766-8100",
"fax_number": "225-408-6867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8080 BLUEBONNET BLVD",
"address_2": "SUITE 3000",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708107827",
"telephone_number": "225-766-8100",
"fax_number": "225-408-6867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUBRICHT",
"first_name": "WILLIAM",
"middle_name": "SAMUEL",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-01",
"last_updated": "2011-10-23",
"deactivation_date": "2006-03-20",
"reactivation_date": "2006-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "LA",
"license": "022659",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1494887",
"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 Oct 23, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.