Individual provider Active NPI

Sean Nicholas Debarros, MD

  • Family Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1669763496
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD 207312 Issued in LA
Practice address
1818 S Sherwood Forest Blvd
Baton Rouge, LA 70816-8321
Phone
(225) 278-3775
NPI assigned
Apr 27, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 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 MD 207312 LA Primary

Addresses

Primary practice location

1818 S Sherwood Forest Blvd
Baton Rouge, LA 70816-8321

Mailing address

1818 S Sherwood Forest Blvd
Baton Rouge, LA 70816-8321

Other identifiers 1

IdentifierTypeStateIssuer
2143476MedicaidLA

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
I20141205001522 LA Practitioner - Family Practice 2860714672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sherwood Urgent Care LLCGroup PAC ID 2365853322, 3 clinicians

Practice addresses (Care Compare)

1818 S Sherwood Forest Blvd
Baton Rouge, LA 70816-8321
Phone (225) 256-5888

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 207312LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lsumc-S Family Practice Medical Family Medicine CurrentSince Sep 15, 2014 Accepting new patients
Sherwood Urgent Care LLC Family Medicine CurrentSince Dec 1, 2020 Accepting new patients

Locations

821 Elliott St
Alexandria, LA 71301
Phone (318) 441-1030

301 4th St
Ste A
Alexandria, LA 71301
Phone (318) 441-1030

1818 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 256-5888

Organizations & group practices 2

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": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1669763496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708168321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708168321",
            "telephone_number": "225-278-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBARROS",
        "first_name": "SEAN",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-27",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD 207312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2143476",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.