Individual provider Active NPI

Kevin O Joseph, M.D.

  • Family Medicine Physician
  • Luling, LA
National Provider Identifier
1659364495
Registry record updated Sep 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
023712 Issued in LA
Practice address
843 Milling Ave
Luling, LA 70070-4442
Phone
(985) 785-5800
Fax
(985) 785-5811
NPI assigned
Aug 26, 2005
Last updated
Sep 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2017

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 023712 LA Primary

Addresses

Primary practice location

843 Milling Ave
Luling, LA 70070-4442

Mailing address

2900 Indiana Avenue
Kenner, LA 70065-4605
Phone (985) 307-1600

Other identifiers 2

IdentifierTypeStateIssuer
1579483MedicaidLA
1486965MedicaidLA

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
I20031209000319 LA Practitioner - Family Practice 6608772934 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Health LouisianaGroup PAC ID 3678484276, shared by 50 NPIs, 42 clinicians

Practice addresses (Care Compare)

3125 Valcour Aime St
Vacherie, LA 70090-7104
Phone (504) 575-3712

8200 Hwy 23
Belle Chasse, LA 70037-2607
Phone (504) 575-3712

843 Milling Ave
Luling, LA 70070-4442
Phone (504) 575-3712

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023712LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Health Louisiana CurrentSince Oct 6, 2021 Accepting new patients
Access Health Louisiana Family Medicine Current Accepting new patients
Access Health Louisiana Family Medicine CurrentSince Jan 6, 2014 Accepting new patients
Access Health Louisiana Family Medicine CurrentSince Jul 18, 2017 Accepting new patients
Access Health Louisiana Family Medicine CurrentSince May 15, 2003 Accepting new patients
Access Health Louisiana Past Accepting new patients
Access Health Louisiana Family Medicine Past Accepting new patients
Access Health Louisiana PastSince Nov 21, 2021 Accepting new patients
Access Health Louisiana PastSince Dec 21, 2021 Accepting new patients
Access Health Louisiana PastSince Jul 18, 2017 Accepting new patients
Access Health Louisiana Family Medicine PastSince Aug 1, 2012 Accepting new patients
Access Health Louisiana PastSince May 8, 2022 Accepting new patients

Locations

8200 Highway 23
Belle Chasse, LA 70037
Phone (504) 398-1100

2807 S Columbia St
Bogalusa, LA 70427
Phone (985) 730-7310

8050 W Judge Perez Dr
Ste 1300
Chalmette, LA 70043
Phone (504) 281-2800

2900 Indiana Ave
Kenner, LA 70065
Phone (504) 575-3700

843 Milling Ave
Luling, LA 70070
Phone (985) 785-5800

16004 River Rd
Norco, LA 70079
Phone (985) 725-9330

3125 Valcour Aime St
Vacherie, LA 70090

Interoperability endpoints

  • Direct secure messaging: kevin.joseph.1@11331.direct.athenahealth.com

Organizations & group practices 12

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.

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": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504656000000",
    "number": "1659364495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 INDIANA AVENUE",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700654605",
            "telephone_number": "985-307-1600",
            "fax_number": "504-575-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 MILLING AVE",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700704442",
            "telephone_number": "985-785-5800",
            "fax_number": "985-785-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "KEVIN",
        "middle_name": "O",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2017-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "023712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1579483",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1486965",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Luling, LA

Sources for this page

Verify at the official NPI Registry.