Active NPI
Joanna Kukuy, PA
- Medical Physician Assistant
- Metairie, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- A10461
- Practice address
- 4300 Houma Blvd
Suite 301
Metairie, LA 70006-2932 - Phone
- (504) 455-3500
- Fax
- (504) 455-3006
- NPI assigned
- Mar 9, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | A10461 | LA | Primary |
Addresses
Primary practice location
4300 Houma Blvd
Suite 301
Metairie, LA 70006-2932
Mailing address
4300 Houma Blvd
Suite 301
Metairie, LA 70006-2932
Phone (504) 455-3500
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2820 Canal St
New Orleans, LA 70119-6302
Phone (504) 821-8158
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.25 of 100
- Quality
- 71.6
- Improvement activities
- 40
- Cost
- 72.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A10461 | LA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luis F Soto, LLC | Past | Accepting new patients | |
| Tchefuncte Cardiovascular Associates | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/3fe0dd43-a33d-4fd4-a49d-ab2fa460e893/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- New Orleans, LA
- NPI 1689722340
-
- Clinic/Center
- Metairie, LA
- NPI 1467615989
-
- Specialist
- Covington, LA
- NPI 1588645303
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1033611454
-
dba East Jefferson General Hospital
- General Acute Care Hospital
- Metairie, LA
- NPI 1497792527
-
dba Lakeview Regional Behavioral Health
- Psychiatric Hospital Unit
- Covington, LA
- NPI 1790722825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518099282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 HOUMA BLVD",
"address_2": "SUITE 301",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700062932",
"telephone_number": "504-455-3500",
"fax_number": "504-455-3006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 HOUMA BLVD",
"address_2": "SUITE 301",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700062932",
"telephone_number": "504-455-3500",
"fax_number": "504-455-3006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUKUY",
"first_name": "JOANNA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "LA",
"license": "A10461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.