Active NPI
John Richard Breaux, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Lacombe, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 018176
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 721349588 | Other | LA | TAX ID |
| 00117913 | Other | MS | MEDICAID |
| 1385221 | Medicaid | LA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic 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
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018176 | LA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Jefferson Physicians Group LLC | Current | 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
- 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.
-
- Internal Medicine Physician
- New Orleans, LA
- NPI 1922293372
-
- Internal Medicine Physician
- Metairie, LA
- NPI 1801233648
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1033611454
-
dba East Jefferson General Hospital
- General Acute Care Hospital
- Metairie, LA
- NPI 1497792527
-
dba Lakeview Regional Behavioral Health
- Psychiatric Hospital Unit
- Covington, LA
- NPI 1790722825
-
dba VitalCaring Group
- Home Health Agency
- Gulfport, MS
- NPI 1174527030
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
- Bio-Medical Applications of Louisiana LLC (Fresenius Medical Care Lacombe)
- Blended Roots Wellness and Consulting
- Allie Elizabeth Blestel, MS, RD, LDN
- Anthony B Bondi, PHARMD
- Stella Jan Borges, RPH
- Arris Slocum Brunet, APRN, FNP-C
- James Melvin Cade, MD
- Cardio-Thoracic Surgery PA a Professional Corporation
- Cardiomed Clinic LLC
- Cardiovascular Imaging, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.