Individual provider Active NPI

Randall C Poche, M.D.

  • Family Medicine Physician
  • Lutcher, LA
National Provider Identifier
1730255696
Registry record updated Jun 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
LA16676 Issued in LA
Practice address
1645 Lutcher Ave
Lutcher, LA 70071-5150
Phone
(225) 869-3493
Fax
(225) 869-9333
NPI assigned
Nov 24, 2006
Last updated
Jun 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 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 LA16676 LA Primary

Addresses

Primary practice location

1645 Lutcher Ave
Lutcher, LA 70071-5150

Mailing address

1645 Lutcher Ave
Lutcher, LA 70071-5150
Phone (225) 869-3493

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
I20100816000284 LA Practitioner - Family Practice 8527111723 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. James Parish Hosp Serv DistGroup PAC ID 3476459850, shared by 5 NPIs, 10 clinicians

Practice addresses (Care Compare)

1645 Lutcher Ave
Lutcher, LA 70071-5150
Phone (225) 258-5901

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.29 of 100Reported as group
Quality
64.64
Promoting interoperability
99
Improvement activities
40
Cost
73.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
016676LAMDPharmacist
LA16676LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St James Parish Hosp Serv Dist CurrentSince Jun 1, 2013 Accepting new patients
St. James Parish Hosp. Serv. Dist. CurrentSince Jun 1, 2013 Accepting new patients
St. James Parish Hosp Serv Dist Family Medicine CurrentSince Jun 1, 2013 Accepting new patients
St. James Parish Hosp Serv Dist Family Medicine Past Accepting new patients

Locations

1645 Lutcher Ave
Lutcher, LA 70071
Phone (225) 258-5901

1731 Lutcher Ave
Lutcher, LA 70071
Phone (225) 258-2040

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St. James Parish HospitalLutcher, LA, CCN 191305 Hospital Corporate Director Jul 21, 2021
St. James Parish Hosp Serv DistLutcher, LA, CCN 19Z305 Hospital Corporate Director Jul 21, 2021

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 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": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497312000000",
    "number": "1730255696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 LUTCHER AVE",
            "city": "LUTCHER",
            "state": "LA",
            "postal_code": "700715150",
            "telephone_number": "225-869-3493",
            "fax_number": "225-869-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 LUTCHER AVE",
            "city": "LUTCHER",
            "state": "LA",
            "postal_code": "700715150",
            "telephone_number": "225-869-3493",
            "fax_number": "225-869-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POCHE",
        "first_name": "RANDALL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2017-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "LA16676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutcher, LA

Sources for this page

Verify at the official NPI Registry.