Active NPI
Jon V Schellack, M.D., F.A.C.S.
- Specialist
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD.015733
- Practice address
- 8585 Picardy Ave 310
Baton Rouge, LA 70809-3679 - Phone
- (225) 767-5479
- Fax
- (225) 767-5147
- NPI assigned
- Oct 31, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MD.015733 | LA | Primary |
Addresses
Primary practice location
8585 Picardy Ave 310
Baton Rouge, LA 70809-3679
Mailing address
8585 Picardy Ave
Baton Rouge, LA 70809-3679
Phone (225) 767-5479
Other practice location 1
505 E Airport Ave
Baton Rouge, LA 70806-6515
Phone (225) 769-2572
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366340 | Medicaid | LA |
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
- Vascular Surgery
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
505 E Airport Ave
Baton Rouge, LA 70806-6515
Phone (225) 769-2572
7373 Perkins Rd
Baton Rouge, LA 70808-4326
Phone (225) 246-9790
8585 Picardy Ave
Baton Rouge, LA 70809-3679
8585 Picardy Ave
Suite 310
Baton Rouge, LA 70809-3749
Phone (225) 767-5479
Hospital & facility affiliations
- Amedisys Home Health
- Our Lady of the Lake Regional Medical Center
- Baton Rouge General Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.72 of 100
- Quality
- 77.03
- Improvement activities
- 40
- Cost
- 83.02
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 13 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15733 | LA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baton Rouge Clinic, a Medical Corporation | Current | Accepting new patients | |
| Lsuhn Billing LLC | Current | Accepting new patients | |
| Baton Rouge Clinic, a Medical Corporation | Surgery | Current | Accepting new patients |
| Lsuhn Billing LLC | Current | Accepting new patients | |
| Baton Rouge Vascular Access LLC | Current | Accepting new patients | |
| Jon V. Schellack, M.D. (a Professional Medical Corporation) | Vascular Surgery | Current | Accepting new patients |
| Cardiovascular Specialty Care Center of Baton Rouge LLC | Current | Accepting new patients | |
| Baton Rouge Vascular Access ASC LLC | Past | Accepting new patients | |
| Our Lady of the Lake Hospital Inc. | Past | Accepting new patients | |
| Stanocola Employees Medical and Hospital Association, Inc | Specialist | Past | Accepting new patients |
Locations
5825 Airline Hwy
Baton Rouge, LA 70805
Phone (225) 358-1000
5425 Brittany Dr
Ste B
Baton Rouge, LA 70808
Phone (225) 767-5479
505 E Airport Ave
Baton Rouge, LA 70806
Phone (225) 201-0950
505 E Airport Ave
Ste B
Baton Rouge, LA 70806
7777 Hennessy Blvd
Ste 215
Baton Rouge, LA 70808
Phone (225) 456-5383
8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000
7373 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 246-9790
8585 Picardy Ave
Ste 310
Baton Rouge, LA 70809
Phone (225) 767-5479
9032 Perkins Rd
Baton Rouge, LA 70810
Phone (225) 358-4853
2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000
Interoperability endpoints
- https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/R4/
- jon.schellack.p110@direct.aac.nextgenshare.com
- https://app.meldrx.com/api/fhir/gemms-bat01
- jschellackmd@dd28915b.micromddirect.com
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Vascular Surgery Physician
- Baton Rouge, LA
- NPI 1174624712
-
- Internal Medicine Physician
- Baton Rouge, LA
- NPI 1871546911
Surgery
-
- Vascular & Interventional Radiology Physician
- Baton Rouge, LA
- NPI 1669753893
-
- Cardiovascular Disease Physician
- Baton Rouge, LA
- NPI 1033486881
-
- Multi-Specialty Clinic/Center
- Lafayette, LA
- NPI 1992975775
-
- Ophthalmology Physician
- Baton Rouge, LA
- NPI 1528941655
-
- Oral and Maxillofacial Surgery (Dentist)
- Baton Rouge, LA
- NPI 1306247556
-
- Ambulatory Surgical Clinic/Center
- Baton Rouge, LA
- NPI 1023542339
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1366436123
-
- Specialist
- Baton Rouge, LA
- NPI 1275694804
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Baton Rouge, LA
- NPI 1588612360
-
- Family Medicine Physician
- Baton Rouge, LA
- NPI 1184648651
Hospital
-
- Neurological Surgery Physician
- Baton Rouge, LA
- NPI 1285887844
Hospital
-
- Gastroenterology Physician
- Baton Rouge, LA
- NPI 1407346984
Hospital
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1962537407
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1366436123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590624000000",
"number": "1780675736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8585 PICARDY AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708093679",
"telephone_number": "225-767-5479",
"fax_number": "225-767-5147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8585 PICARDY AVE 310",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708093679",
"telephone_number": "225-767-5479",
"fax_number": "225-767-5147"
}
],
"practiceLocations": [
{
"address_1": "505 E Airport Ave",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708066515",
"country_code": "US",
"telephone_number": "225-769-2572",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHELLACK",
"first_name": "JON",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "M.D., F.A.C.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2020-05-28",
"certification_date": "2020-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "LA",
"license": "MD.015733",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1366340",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.