Individual provider Active NPI

Leonard John Giuffreda III, M.D.

  • Family Medicine Physician
  • Baltimore, MD
National Provider Identifier
1629384581
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.207957 Issued in LA
Practice address
900 S Caton Ave
Baltimore, MD 21229-5201
Phone
(410) 368-6000
NPI assigned
Aug 29, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X P25907 MD
Emergency Medicine Physician 207P00000X MD.207957 LA
Family Medicine Physician 207Q00000X MD.207957 LA Primary

Addresses

Primary practice location

900 S Caton Ave
Baltimore, MD 21229-5201

Mailing address

244 Gray Fox CT
Edgewater, MD 21037-2733

Other practice location 1

12895 Highway 90 Ste H
Luling, LA 70070-2249
Phone (985) 331-9400

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
I20150804005683 LA Practitioner - Family Practice 4082928064 Reassigns benefits to 8 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P25907MDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eunice Emergency Group LLC Emergency Medicine CurrentSince Sep 5, 2015 Accepting new patients
Washington Parish Emergency Physicians Group LLC Emergency Medicine CurrentSince Dec 1, 2019 Accepting new patients
Ambassador Physician Services LLC CurrentSince Feb 8, 2022 Accepting new patients
Ochsner Clinic LLC CurrentSince Nov 18, 2019 Accepting new patients
Congress Emergency Group LLC Emergency Medicine CurrentSince Jul 1, 2015 Accepting new patients
Raceland Emergency Group, LLC Emergency Medicine CurrentSince Jan 26, 2021 Accepting new patients
Ochsner Clinic LLC CurrentSince Nov 18, 2019 Accepting new patients
Ochsner Clinic LLC Surgery Current Accepting new patients
St. Bernard Emergency Group, LLC Emergency Medicine CurrentSince Feb 4, 2019 Accepting new patients
Ambassador Emergency Group LLC Emergency Medicine CurrentSince Feb 14, 2016 Accepting new patients

Locations

433 Plaza St
Bogalusa, LA 70427
Phone (985) 730-6700

8000 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 493-6078

3501 Highway 190
Eunice, LA 70535
Phone (337) 580-7500

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

2810 Ambassador Caffery Pkwy
Lafayette, LA 70506
Phone (337) 593-5423

4600 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 371-3135

12895 Highway 90
Ste H
Luling, LA 70070
Phone (985) 331-9400

900 Magazine St
New Orleans, LA 70130
Phone (504) 309-0534

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

4608 Highway 1
Raceland, LA 70394
Phone (504) 537-6841

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1629384581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 GRAY FOX CT",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210372733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S CATON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295201",
            "telephone_number": "410-368-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12895 Highway 90 Ste H",
            "address_purpose": "LOCATION",
            "city": "Luling",
            "state": "LA",
            "postal_code": "700702249",
            "country_code": "US",
            "telephone_number": "985-331-9400",
            "fax_number": "985-331-9401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIUFFREDA",
        "first_name": "LEONARD",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-29",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "P25907",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "MD.207957",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.207957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.