Active NPI
Christopher Paul Fontenot, MD
- Specialist
- Lafayette, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 10547R
- Practice address
- 200 Beaullieu Dr
Lafayette, LA 70508-7230 - Phone
- (337) 232-4555
- Fax
- (337) 232-0906
- NPI assigned
- Jul 19, 2006
- Last updated
- Feb 9, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 10547R | LA | Primary |
Addresses
Primary practice location
200 Beaullieu Dr
Lafayette, LA 70508-7230
Mailing address
120 Rue Louis Xiv
Lafayette, LA 70508-5739
Phone (337) 769-7779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1651249 | Medicaid | LA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Louisiana State University School of Medicine in New Orleans, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 Rue Louis Xiv
Lafayette, LA 70508-5739
Phone (337) 600-1678
1926 S Union St
Opelousas, LA 70570-5725
Phone (337) 594-4025
Hospital & facility affiliations
- Our Lady of Lourdes Regional Medical Center, Inc
- Lafayette Surgical Specialty Hospital
- Ochsner Lafayette General Medical Center
- Park Place Surgical Hospital
- Acadia St Landry
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.2 of 100
- Promoting interoperability
- 92
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10547R | LA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Urology LLC | Urology | Current | Accepting new patients |
| Southern Urology, LLC | Urology | Current | Accepting new patients |
| Ducote and Fontenot, PMC | Specialist | Past | Accepting new patients |
Locations
120 Rue Louis Xiv
Lafayette, LA 70508
Phone (337) 233-6665
120 Rue Louis Xiv
Bldg 2
Lafayette, LA 70508
Phone (337) 233-6665
200 Beaullieu Dr
Ste 7
Lafayette, LA 70508
Phone (337) 232-4555
501 W Saint Mary Blvd
Ste 306
Lafayette, LA 70506
Phone (337) 232-4555
Interoperability endpoints
- christopherfontenot@southernuro.medalliesdirect.net
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.
-
- Urology Physician
- Lafayette, LA
- NPI 1740441955
-
- Urology Physician
- Opelousas, LA
- NPI 1386352151
-
- Specialist
- Lafayette, LA
- NPI 1457377053
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Acadia-St. Landry Hospital
- Critical Access Hospital
- Church Point, LA
- NPI 1376540153
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1275536799
-
dba Lafayette Surgical Specialty Hospital
- General Acute Care Hospital
- Lafayette, LA
- NPI 1134222565
-
dba Lafayette Surgical Specialty Hospital
- Specialist
- Lafayette, LA
- NPI 1255736492
Hospital
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1598766495
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1215996632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297209600000",
"number": "1669492369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 RUE LOUIS XIV",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705085739",
"telephone_number": "337-769-7779",
"fax_number": "337-769-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BEAULLIEU DR",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705087230",
"telephone_number": "337-232-4555",
"fax_number": "337-232-0906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTENOT",
"first_name": "CHRISTOPHER",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2011-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "LA",
"license": "10547R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1651249",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.