Individual provider Active NPI

Jay Robert Maust, MD

  • Pediatrics Physician
  • Lake Charles, LA
National Provider Identifier
1831180553
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
12770R Issued in LA
Practice address
2903 1St Ave
Lake Charles, LA 70601-8809
Phone
(337) 478-6480
Fax
(337) 474-9637
NPI assigned
Nov 2, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 12770R LA Primary

Addresses

Primary practice location

2903 1St Ave
Lake Charles, LA 70601-8809

Mailing address

2903 1St Ave
Lake Charles, LA 70601-8809
Phone (337) 478-6480

Other identifiers 1

IdentifierTypeStateIssuer
1539988MedicaidLA

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
I20251118004764 LA Practitioner - Pediatric MedicinePractitioner - Internal Medicine 1951892835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Internal Medicine
Education
Other, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

108 6TH Ave
Kinder, LA 70648-3187

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12770RLAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allen Parish Hospital District No 3 CurrentSince Oct 1, 2025 Accepting new patients
Allen Parish Hospital District No 3 CurrentSince Oct 1, 2025 Accepting new patients
Children's Pharmacy Past Accepting new patients
Allen Parish Hospital District No 3 Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Christus Health Southwestern Louisiana Past Accepting new patients

Locations

108 6th Ave
Kinder, LA 70648
Phone (337) 738-2527

108 6th Ave
Bldg B
Kinder, LA 70648
Phone (337) 738-4670

Interoperability endpoints

  • Direct secure messaging: jmaust5287537@direct.casso.us.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1831180553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 1ST AVE",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018809",
            "telephone_number": "337-478-6480",
            "fax_number": "337-474-9637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2903 1ST AVE",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018809",
            "telephone_number": "337-478-6480",
            "fax_number": "337-474-9637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUST",
        "first_name": "JAY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "12770R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1539988",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.