NPIMap

Individual provider Active NPI

Robert Sudduth

  • Family Medicine Physician
  • Denham Springs, LA
National Provider Identifier
1639602253
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
323131 Issued in LA
Practice address
1286 Del Este Ave
Denham Springs, LA 70726-4898
Phone
(225) 667-3100
NPI assigned
Apr 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 323131 LA Primary

Addresses

Primary practice location

1286 Del Este Ave
Denham Springs, LA 70726-4898

Mailing address

1286 Del Este Ave
Denham Springs, LA 70726-4898
Phone (225) 667-3100

Other practice location 1

3401 North Blvd Ste 200
Baton Rouge, LA 70806-3743
Phone (225) 381-6620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200803001854 LA Practitioner - Family Practice 8527331206 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
William Carey University College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1286 Del Este Ave
Denham Springs, LA 70726-4898
Phone (225) 667-3100

3401 N Blvd
Baton Rouge, LA 70806-3743
Phone (225) 381-6620

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.3 of 100Reported as group
Quality
57.21
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
74.57
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge General Medical Center Current Accepting new patients
Baton Rouge General Medical Center CurrentSince Mar 9, 2021 Accepting new patients
Baton Rouge General Medical Center CurrentSince Mar 9, 2021 Accepting new patients
Baton Rouge General Physicians, Inc. CurrentSince Aug 1, 2020 Accepting new patients
Baton Rouge General Medical Center Family Medicine CurrentSince Aug 1, 2020 Accepting new patients
Baton Rouge General Physicians, Inc. Family Medicine Current Accepting new patients

Locations

9001 Summa Ave
Baton Rouge, LA 70809

3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615

3401 North Blvd
Ste 200
Baton Rouge, LA 70806
Phone (225) 336-3100

1286 Del Este Ave
Denham Springs, LA 70726
Phone (225) 667-3100

610 N Jefferson Ave
Port Allen, LA 70767
Phone (225) 267-6626

Organizations & group practices 6

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 6

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": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1639602253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1286 DEL ESTE AVE",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264898",
            "telephone_number": "225-667-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1286 DEL ESTE AVE",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264898",
            "telephone_number": "225-667-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 North Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708063743",
            "country_code": "US",
            "telephone_number": "225-381-6620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUDDUTH",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-10",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "323131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denham Springs, LA

Sources for this page

Verify at the official NPI Registry.