Individual provider Active NPI

Jeffery Ryan Grizzaffi, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Lafayette, LA
National Provider Identifier
1508000381
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DPM200025 Issued in LA
Practice address
901 Wilson St Ste C-2
Lafayette, LA 70503-2439
Phone
(337) 232-3576
Fax
(337) 233-2816
NPI assigned
Apr 24, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X DPM200025 LA Primary

Addresses

Primary practice location

901 Wilson St Ste C-2
Lafayette, LA 70503-2439

Mailing address

901 Wilson St Ste C-2
Lafayette, LA 70503-2439
Phone (337) 232-3576

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091217000412 LA Practitioner - Podiatry 8224178520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ben a. Vierra, ApmcGroup PAC ID 0749326411, 2 clinicians

Practice addresses (Care Compare)

901 Wilson St
Suite C2
Lafayette, LA 70503-2439
Phone (337) 232-3576

Hospital & facility affiliations

  • Park Place Surgical Hospital Hospital, Lafayette, LA, CCN 190255
  • Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002

Merit-based Incentive Payment System (MIPS)

Final score
85.21 of 100Reported as individual
Quality
64.36
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue50
Removal of skin lesions28
Removal of nail tissue75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DPM200025LAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Unity PastSince Dec 1, 2022 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 2

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": "1240531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1508000381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 WILSON ST STE C-2",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032439",
            "telephone_number": "337-232-3576",
            "fax_number": "337-233-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WILSON ST STE C-2",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032439",
            "telephone_number": "337-232-3576",
            "fax_number": "337-233-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIZZAFFI",
        "first_name": "JEFFERY",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-24",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "LA",
            "license": "DPM200025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.