Individual provider Active NPI

Justin Kyle Cutrer, MD

  • Family Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1720518764
Registry record updated Jan 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
321956 Issued in LA
Practice address
7777 Hennessy Blvd Ste 701
Baton Rouge, LA 70808-4370
Phone
(225) 765-5864
Fax
(225) 765-2013
NPI assigned
Jun 13, 2017
Last updated
Jan 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X LA
Family Medicine Physician 207Q00000X 321956 LA Primary
Hospitalist Physician 208M00000X 321956 LA

Addresses

Primary practice location

7777 Hennessy Blvd Ste 701
Baton Rouge, LA 70808-4370

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 526-0002

Other practice location 1

15790 Paul Vega Md Dr
Hammond, LA 70403-1436
Phone (985) 345-2700

Other practice location 2

4228 Houma Blvd Ste 200
Metairie, LA 70006-3004
Phone (504) 454-7878

Other identifiers 1

IdentifierTypeStateIssuer
321956OtherLASTATE LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jcutrer1348114@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

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
I20200831000433 LA Practitioner - Family Practice 1052675899 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mayfair Physician Services, LLCGroup PAC ID 7618225814, 39 clinicians
North Oaks Medical Center LLCGroup PAC ID 2466629522, 317 clinicians

Practice addresses (Care Compare)

1057 Paul Maillard Rd
Luling, LA 70070-4349
Phone (985) 785-6242

15790 Paul Vega MD Dr
Hammond, LA 70403-1434
Phone (985) 230-3066

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.84 of 100Reported as group
Quality
79.03
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
321956LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mayfair Physician Services, LLC Hospitalist CurrentSince Sep 7, 2022 Accepting new patients
North Oaks Medical Center, LLC Hospitalist CurrentSince Feb 2, 2026 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Feb 2, 2026 Accepting new patients
East Baton Rouge Medical Center LLC Past Accepting new patients

Locations

17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

1057 Paul Maillard Rd
Luling, LA 70070
Phone (985) 785-3740

Interoperability endpoints

  • Direct secure messaging: jcutrer1348114@direct.casso.us.com
  • Direct secure messaging: jcutrer558686@direct.ochsner.org

Organizations & group practices 4

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 3

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": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767398400000",
    "number": "1720518764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-526-0002",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD STE 701",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084370",
            "telephone_number": "225-765-5864",
            "fax_number": "225-765-2013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15790 Paul Vega Md Dr",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704031436",
            "country_code": "US",
            "telephone_number": "985-345-2700",
            "fax_number": "985-230-2072",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4228 Houma Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700063004",
            "country_code": "US",
            "telephone_number": "504-454-7878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUTRER",
        "first_name": "JUSTIN",
        "middle_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-13",
        "last_updated": "2026-01-03",
        "certification_date": "2026-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "321956",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "LA",
            "license": "321956",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "321956",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcutrer1348114@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jcutrer1348114@direct.casso.us.com",
            "address_1": "7777 Hennessy Blvd Ste 701",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708084370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "7777 Hennessy Blvd Ste 701",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708084370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.