Individual provider Active NPI

Marykutty J Thomas, MD

  • Family Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1477552156
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
022386 Issued in LA
Practice address
7949 Jefferson Hwy
Baton Rouge, LA 70809-1385
Phone
(225) 709-7584
NPI assigned
Jul 15, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 022386 LA Primary

Addresses

Primary practice location

7949 Jefferson Hwy
Baton Rouge, LA 70809-1385

Mailing address

9241 Bluebonnet Blvd
Suite B
Baton Rouge, LA 70810-2808
Phone (225) 757-6031

Other practice location 1

9241 Bluebonnet Blvd
Suite B
Baton Rouge, LA 70810-2808
Phone (225) 757-6031

Other identifiers 1

IdentifierTypeStateIssuer
1676471MedicaidLA

Other names 1

  • Marykutty Joseph Former name

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
I20150402001880 LA Practitioner - Family Practice 9436193323 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

170 McGehee Dr
Baton Rouge, LA 70815-5012
Phone (225) 236-0233

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
022386LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Aug 11, 2024 Accepting new patients
Baton Rouge General Physicians, Inc. Family Medicine Current Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Jul 22, 2024 Accepting new patients
Ochsner Clinic LLC CurrentSince Jul 22, 2024 Accepting new patients
Ochsner Clinic LLC Family Medicine PastSince Aug 11, 2024 Accepting new patients

Locations

16777 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 754-3278

170 McGehee Dr
Baton Rouge, LA 70815
Phone (225) 275-7770

8490 Picardy Ave
Ste 600
Baton Rouge, LA 70809
Phone (225) 763-4445

8595 Picardy Ave
Ste 100
Baton Rouge, LA 70809
Phone (225) 763-4900

9241 Bluebonnet Blvd
Ste B
Baton Rouge, LA 70810
Phone (225) 383-3187

7949 Jefferson Hwy
Baton Rouge, LA 70809
Phone (225) 388-6244

11548 Old Hammond Hwy
Baton Rouge, LA 70816
Phone (225) 275-5860

11944 Coursey Blvd
Baton Rouge, LA 70816

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

Interoperability endpoints

  • Direct secure messaging: mthomas158253@direct.ochsner.org

Organizations & group practices 7

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 1

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": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1477552156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9241 BLUEBONNET BLVD",
            "address_2": "SUITE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708102808",
            "telephone_number": "225-757-6031",
            "fax_number": "225-757-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7949 JEFFERSON HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091385",
            "telephone_number": "225-709-7584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9241 Bluebonnet Blvd",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708102808",
            "country_code": "US",
            "telephone_number": "225-757-6031",
            "fax_number": "225-757-6035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MARYKUTTY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-15",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "022386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1676471",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYKUTTY",
            "last_name": "JOSEPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.