Individual provider Active NPI

Jon V Schellack, M.D., F.A.C.S.

  • Specialist
  • Baton Rouge, LA
National Provider Identifier
1780675736
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD.015733 Issued in LA
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

Updated by the provider on May 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1366340MedicaidLA

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
I20080716000409 LA Practitioner - Vascular Surgery 0547333023 Reassigns benefits to 5 organizations

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
Baton Rouge Vascular Access LLCGroup PAC ID 2769655075, 8 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
95.72 of 100Reported as group
Quality
77.03
Improvement activities
40
Cost
83.02

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)13
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15733LAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge Clinic, a Medical Corporation CurrentSince Jan 21, 2024 Accepting new patients
Lsuhn Billing LLC CurrentSince Apr 28, 2008 Accepting new patients
Baton Rouge Clinic, a Medical Corporation Surgery CurrentSince Jan 21, 2024 Accepting new patients
Lsuhn Billing LLC CurrentSince Apr 28, 2008 Accepting new patients
Baton Rouge Vascular Access LLC CurrentSince Sep 1, 2019 Accepting new patients
Jon V. Schellack, M.D. (a Professional Medical Corporation) Vascular Surgery CurrentSince Sep 1, 2002 Accepting new patients
Cardiovascular Specialty Care Center of Baton Rouge LLC CurrentSince Dec 7, 2023 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

  • FHIR API: https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: jon.schellack.p110@direct.aac.nextgenshare.com
  • FHIR API: https://app.meldrx.com/api/fhir/gemms-bat01
  • Direct secure messaging: 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.

Hospital & facility affiliations 8

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": "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

Verify at the official NPI Registry.