Individual provider Active NPI

Gerard Fitzgerald Sigue, M.D.

  • Nephrology Physician
  • Broussard, LA
National Provider Identifier
1750390316
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
022140 Issued in LA
Practice address
217 Gleneagles Cir
Broussard, LA 70518-6185
Phone
(337) 608-9043
NPI assigned
Aug 5, 2006
Last updated
May 29, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 022140 LA Primary

Addresses

Primary practice location

217 Gleneagles Cir
Broussard, LA 70518-6185

Mailing address

2308 E Main St
Suite E
New Iberia, LA 70560-4041
Phone (337) 608-9043

Other identifiers 1

IdentifierTypeStateIssuer
1676543MedicaidLA

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
I20070319000459 LA Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Other (Physician) 8820191539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Louisiana State University School of Medicine in New Orleans, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iberia Medical Center Physician Practice NetworkGroup PAC ID 3476730847, 20 clinicians

Practice addresses (Care Compare)

New Iberia, LA 70560
Phone (337) 374-7104

2313 E Main St
Suite C
New Iberia, LA 70560-4091
Phone (337) 364-1734

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
022140LAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iberia Medical Center Physician Practice Network Nephrology CurrentSince Sep 1, 2022 Accepting new patients

Locations

2308 E Main St
Ste E
New Iberia, LA 70560
Phone (337) 608-9043

2313 E Main St
Ste C
New Iberia, LA 70560
Phone (337) 364-1734

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/ibermed-05842f36

Organizations & group practices 1

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 7

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1750390316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 E MAIN ST",
            "address_2": "SUITE E",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604041",
            "telephone_number": "337-608-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 GLENEAGLES CIR",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705186185",
            "telephone_number": "337-608-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGUE",
        "first_name": "GERARD",
        "middle_name": "FITZGERALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "022140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1676543",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broussard, LA

Sources for this page

Verify at the official NPI Registry.