Individual provider Active NPI

John T. Couvillion, M.D.

  • Ophthalmology Physician
  • Baton Rouge, LA
National Provider Identifier
1497762207
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD.021851 Issued in LA
Practice address
10202 Jefferson Hwy Ste D
Baton Rouge, LA 70809-3183
Phone
(225) 768-8833
Fax
(225) 769-4839
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 021851 LA
Ophthalmology Physician 207W00000X MD.021851 LA Primary

Addresses

Primary practice location

10202 Jefferson Hwy Ste D
Baton Rouge, LA 70809-3183

Mailing address

10202 Jefferson Hwy Ste D
Baton Rouge, LA 70809-3183
Phone (225) 768-8833

Other identifiers 1

IdentifierTypeStateIssuer
1499234MedicaidLA

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
I20041209000013 LA Practitioner - OphthalmologyPractitioner - Other (Physician) 9234195496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tulane University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina and Vitreous of Louisiana, Inc.Group PAC ID 7315903572, 3 clinicians

Practice addresses (Care Compare)

10202 Jefferson Hwy
Suite D
Baton Rouge, LA 70809-3183
Phone 2257688833106

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.41 of 100Reported as group
Quality
94.83
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021851LAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Retina & Vitreous of Louisiana, Inc. Ophthalmology CurrentSince Aug 26, 1999 Accepting new patients

Locations

10202 Jefferson Hwy
Ste D
Baton Rouge, LA 70809
Phone (225) 768-8833

10202 Jefferson Hwy
Baton Rouge, LA 70809
Phone (225) 768-8833

20103 Old Scenic Hwy
Ste 2A
Zachary, LA 70791

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.

Hospital & facility affiliations 8

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1497762207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10202 JEFFERSON HWY STE D",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093183",
            "telephone_number": "225-768-8833",
            "fax_number": "225-769-4839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10202 JEFFERSON HWY STE D",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093183",
            "telephone_number": "225-768-8833",
            "fax_number": "225-769-4839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUVILLION",
        "first_name": "JOHN",
        "middle_name": "T.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "021851",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "MD.021851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1499234",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.