Individual provider Active NPI

James E Kerl, M.D.

  • Family Medicine Physician
  • Kenner, LA
National Provider Identifier
1790711521
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
06676R Issued in LA
Practice address
1918 Williams Blvd
Kenner, LA 70062-6232
Phone
(504) 471-4860
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 06676R LA Primary

Addresses

Primary practice location

1918 Williams Blvd
Kenner, LA 70062-6232

Mailing address

1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (504) 471-4860

Other practice location 1

1847 Dock St
Suite 100
Harahan, LA 70123-1600
Phone (504) 733-1100

Other identifiers 1

IdentifierTypeStateIssuer
1350982MedicaidLA

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
I20111212000179 LA Practitioner - Family Practice 5092980532 Practice locations: Harahan, LA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
06676RLAMDFamily Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1790711521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "504-471-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 WILLIAMS BLVD",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700626232",
            "telephone_number": "504-471-4860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1847 Dock St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Harahan",
            "state": "LA",
            "postal_code": "701231600",
            "country_code": "US",
            "telephone_number": "504-733-1100",
            "fax_number": "504-733-1184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERL",
        "first_name": "JAMES",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "06676R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1350982",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

Verify at the official NPI Registry.