Individual provider Active NPI

Jared Roussel

  • Anesthesiology Physician
  • Metairie, LA
National Provider Identifier
1801214697
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
301694 Issued in LA
Practice address
723 Athania Pkwy
Metairie, LA 70001-4005
Phone
(985) 703-1256
NPI assigned
Mar 31, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 301694 LA Primary

Addresses

Primary practice location

723 Athania Pkwy
Metairie, LA 70001-4005

Mailing address

8166 Main St
Houma, LA 70360-3404
Phone (985) 703-1256

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
I20190717003836 LA Practitioner - Anesthesiology 3476772641 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Tulane University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paeon Health Services IncGroup PAC ID 1153697727, 55 clinicians

Practice addresses (Care Compare)

8166 Main St
Houma, LA 70360-3404
Phone (985) 873-4751

Hospital & facility affiliations

  • Terrebonne General Medical Center - Parish Hospital, Houma, LA, CCN 190008

Merit-based Incentive Payment System (MIPS)

Final score
88.45 of 100Reported as group
Quality
84.62
Improvement activities
40
Cost
76.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
301694LAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Terrebonne Parish Hospital Service District #1 Anesthesiology Current Accepting new patients

Locations

8166 Main St
Houma, LA 70360
Phone (800) 456-9121

Organizations & group practices 3

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 1

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": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1801214697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8166 MAIN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703603404",
            "telephone_number": "985-703-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 ATHANIA PKWY",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700014005",
            "telephone_number": "985-703-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSSEL",
        "first_name": "JARED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-31",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "301694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.