Daniel Bouchette

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

016995 Issued in LA

Practice address

3600 Prytania St
Suite 35
New Orleans, LA 70115-3628

Phone

(504) 897-8315

Fax

(504) 891-9862

NPI assigned

Jun 11, 2006

Sex

Male

Sole proprietor

No

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.

• Crescent City Physicians, Inc.

  • Family Medicine Physician
  • New Orleans, LA
  • NPI 1689722340

  Family Medicine, LA

  Medicare reassignment Care Compare group NPD
• Ascension Depaul Services

  • Urgent Care Clinic/Center
  • New Orleans, LA
  • NPI 1376397836

  LA

  Medicare reassignment NPD
• BHG Lxii LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • New Orleans, LA
  • NPI 1750090478

  LA

  Medicare reassignment NPD
• Marillac Community Health Centers

  • Primary Care Clinic/Center
  • Metairie, LA
  • NPI 1396059796

  LA

  Medicare reassignment NPD
• Ascension Depaul Services

  • Family Medicine Physician
  • New Orleans, LA
  • NPI 1578834941

  Family Medicine

  NPD
• BHG Lxii LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Shreveport, LA
  • NPI 1134838857
  NPD
• BHG Lxii LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Houma, LA
  • NPI 1487397030
  NPD
• Marillac Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1386024891
  NPD
• Marillac Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Hammond, LA
  • NPI 1578442505
  NPD
• Marillac Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1093249518
  NPD (past)
• Marillac Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1780935973
  NPD (past)
• Marillac Community Health Centers

  • Clinic/Center
  • Kenner, LA
  • NPI 1831594241

  Family Medicine

  NPD (past)

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

• Touro Infirmary

  • Rehabilitation Hospital Unit
  • New Orleans, LA
  • NPI 1588817878

  Hospital

  Care Compare affiliation
• Touro Infirmary

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1821098286

  Hospital

  Care Compare affiliation
• University Medical Center Management Corporation

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1568403111

  Hospital

  Care Compare affiliation
• West Jefferson Holdings, LLC

  • General Acute Care Hospital
  • Marrero, LA
  • NPI 1265437644

  Hospital

  Care Compare affiliation

Specialty

Family Practice

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crescent City Physicians Inc 158 clinicians

Marillac Community Health Centers 70 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Touro Infirmary Hospital, New Orleans, LA, CCN 190046
• University Medical Center New Orleans Hospital, New Orleans, LA, CCN 190005
• West Jefferson Medical Center Hospital, Marrero, LA, CCN 190039

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 28)

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 27, 2019.

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1508808965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 PRYTANIA ST STE 35",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153678",
            "telephone_number": "504-897-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 PRYTANIA ST",
            "address_2": "SUITE 35",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153628",
            "telephone_number": "504-897-8315",
            "fax_number": "504-891-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHETTE",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "016995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1389242",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Soffy D Botero, MD
• Jamie Bothello, FNP
• Carla Bou Dargham, MD
• Katerina Boucek, M.D.
• Taylor Bouche, NP
• Michael Christopher Boucree, M.D.
• Christine Michelle Boudet, FNP
• Katie Lynn Boudloche, M.ED., BCBA, LBA
• Allison Boudreau
• Abigail Hagen Boudreaux

• All providers in New Orleans, LA
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.

Verify at the official NPI Registry.