Individual provider Active NPI

Jim B Harvey, DPM

  • Foot Surgery Podiatrist
  • Leesville, LA
National Provider Identifier
1801898531
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
PD143R Issued in LA
Practice address
1108 Port Arthur Ter
Leesville, LA 71446-4600
Phone
(337) 239-1061
Fax
(337) 239-1062
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X PD143R LA Primary

Addresses

Primary practice location

1108 Port Arthur Ter
Leesville, LA 71446-4600

Mailing address

1108 Port Arthur Ter
Leesville, LA 71446-4600
Phone (337) 239-1061

Other identifiers 1

IdentifierTypeStateIssuer
1668184MedicaidLA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101123000573 LA Practitioner - Podiatry 3577518869 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Louisiana Health Services IncGroup PAC ID 5799680245, 9 clinicians

Practice addresses (Care Compare)

600 S Pine St
Beauregard Health System
Deridder, LA 70634-4942
Phone (337) 462-7409

Merit-based Incentive Payment System (MIPS)

Final score
95.4 of 100Reported as individual
Quality
86.68
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of nail tissue316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beauregard Surgery Center, LLC CurrentSince Jul 5, 2021 Accepting new patients
West Louisiana Health Services Inc CurrentSince Jul 5, 2021 Accepting new patients

Locations

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

302 W 6th St
Deridder, LA 70634
Phone (337) 463-8556

1108 Port Arthur Ter
Leesville, LA 71446
Phone (337) 239-1061

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1801898531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 PORT ARTHUR TER",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464600",
            "telephone_number": "337-239-1061",
            "fax_number": "337-239-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 PORT ARTHUR TER",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464600",
            "telephone_number": "337-239-1061",
            "fax_number": "337-239-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "JIM",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "LA",
            "license": "PD143R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1668184",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesville, LA

Sources for this page

Verify at the official NPI Registry.