Individual provider Active NPI

John Richard Breaux, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lacombe, LA
National Provider Identifier
1760487680
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
018176 Issued in LA
Practice address
64040 Highway 434
Suite 200
Lacombe, LA 70445-3499
Phone
(985) 882-6221
Fax
(985) 882-7935
NPI assigned
Jun 16, 2005
Last updated
Jan 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 018176 LA Primary

Addresses

Primary practice location

64040 Highway 434
Suite 200
Lacombe, LA 70445-3499

Mailing address

64040 Highway 434
Suite 200
Lacombe, LA 70445-3499
Phone (985) 882-6221

Other identifiers 3

IdentifierTypeStateIssuer
721349588OtherLATAX ID
00117913OtherMSMEDICAID
1385221MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JOHN.BREAUX@hca9.eclinicaldirectplus.com

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
I20041013000011 LA Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 1557321775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery
Education
Louisiana State University School of Medicine in New Orleans, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

64040 Hwy 434
Suite 101
Lacombe, LA 70445-3499
Phone (985) 882-6221

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018176LAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Jefferson Physicians Group LLC CurrentSince Mar 1, 2023 Accepting new patients
Metairie Physician Services Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

101 Judge Tanner Blvd
Ste 106
Covington, LA 70433
Phone (985) 867-2128

101 Judge Tanner Blvd
Ste 300
Covington, LA 70433
Phone (985) 888-8750

64040 Highway 434
Ste 101
Lacombe, LA 70445
Phone (985) 882-8488

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

4228 Houma Blvd
Ste 530
Metairie, LA 70006
Phone (504) 456-8415

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

Interoperability endpoints

  • Direct secure messaging: john.breaux@hca9.eclinicaldirectplus.com

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, 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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1760487680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64040 HIGHWAY 434",
            "address_2": "SUITE 200",
            "city": "LACOMBE",
            "state": "LA",
            "postal_code": "704453499",
            "telephone_number": "985-882-6221",
            "fax_number": "985-882-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64040 HIGHWAY 434",
            "address_2": "SUITE 200",
            "city": "LACOMBE",
            "state": "LA",
            "postal_code": "704453499",
            "telephone_number": "985-882-6221",
            "fax_number": "985-882-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREAUX",
        "first_name": "JOHN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "LA",
            "license": "018176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "721349588",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "00117913",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1385221",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JOHN.BREAUX@hca9.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "64040 Highway 434",
            "address_2": "SUITE 200",
            "city": "LaCombe",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704453499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lacombe, LA

Sources for this page

Verify at the official NPI Registry.