Individual provider Active NPI

Boyd D Snellgrove, MD

  • Diagnostic Radiology Physician
  • New Iberia, LA
National Provider Identifier
1811942808
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
022007 Issued in LA
Practice address
2315 E Main St
New Iberia, LA 70560-4031
Phone
(337) 367-1048
Fax
(337) 367-0131
NPI assigned
May 24, 2006
Last updated
Mar 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 022007 LA Primary

Addresses

Primary practice location

2315 E Main St
New Iberia, LA 70560-4031

Mailing address

PO Box 9774
New Iberia, LA 70562-9774
Phone (337) 367-1048

Other identifiers 1

IdentifierTypeStateIssuer
1696579MedicaidLA

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
I20050207000015 LA Practitioner - Diagnostic Radiology 9830140987 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Louisiana State University School of Medicine in Shreveport, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of IberiaGroup PAC ID 3375533201, 2 clinicians
Acadiana Radiology GroupGroup PAC ID 1355403114, 50 clinicians

Practice addresses (Care Compare)

1097 Northwest Blvd
Franklin, LA 70538-3407
Phone (337) 828-0760

2309 E Main St
Suite 100
New Iberia, LA 70560-4062

2315 E Main St
New Iberia, LA 70560-4031
Phone (337) 374-7165

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917
Phone (337) 470-2180

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
022007LAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Iberia Diagnostic Radiology CurrentSince Jul 1, 1997 Accepting new patients
Hospital Service District No. 1 of the Parish of St. Mary CurrentSince Dec 2, 2024 Accepting new patients
Acadiana Radiology Group Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Hospital Service District No. 1 of the Parish of St. Mary CurrentSince Dec 2, 2024 Accepting new patients
Acadiana Diagnostic Imaging LLC CurrentSince Jun 12, 2000 Accepting new patients
Hospital Service District No. 1 of the Parish of St. Mary Past Accepting new patients

Locations

118 N Hospital Dr
Abbeville, LA 70510
Phone (337) 893-5466

2621 North Dr
Abbeville, LA 70510
Phone (337) 692-6919

1097 Northwest Blvd
Franklin, LA 70538
Phone (337) 355-1269

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-2000

4811 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 237-8119

600 Jefferson St
Ste 404
Lafayette, LA 70501

2309 E Main St
Ste 100
New Iberia, LA 70560
Phone (337) 367-1048

2315 E Main St
New Iberia, LA 70560
Phone (337) 364-0441

600 N Lewis St
New Iberia, LA 70563
Phone (337) 365-7311

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1811942808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9774",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705629774",
            "telephone_number": "337-367-1048",
            "fax_number": "337-367-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 E MAIN ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604031",
            "telephone_number": "337-367-1048",
            "fax_number": "337-367-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNELLGROVE",
        "first_name": "BOYD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "022007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1696579",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

Verify at the official NPI Registry.