Jorge Rafael Belgodere-Bonilla, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD025916 Issued in LA

Practice address

811 Albertson Pkwy Ste F
Broussard, LA 70518-5256

Phone

(337) 837-3615

Fax

(337) 839-8097

NPI assigned

Aug 21, 2006

Last updated

Sep 12, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Louisiana State University School of Medicine in New Orleans, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Audubon Home Health of Lafayette Home health agency, Lafayette, LA, CCN 197791
• Lourdes Home Health Home health agency, Lafayette, LA, CCN 197057
• Acadian Homecare, LLC Home health agency, Lafayette, LA, CCN 197060
• Our Lady of Lourdes Regional Medical Center, Inc Hospital, Lafayette, LA, CCN 190102
• Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002
• Park Place Surgical Hospital Hospital, Lafayette, LA, CCN 190255
• Lafayette-Amg Physical Rehabilitation Hospital Inpatient rehabilitation facility, Lafayette, LA, CCN 193093
• Lafayette - a M G Specialty Hospital Long-term care hospital, Lafayette, LA, CCN 192029

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IBCJCD
• FHIR API: https://fhir4.healow.com/fhir/r4/IBCJCD/Endpoint/IBCJCD

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.

• Youngsville Medical Clinic

  • Internal Medicine Physician
  • Broussard, LA
  • NPI 1689696270
  Medicare reassignment NPD Authorized official
• Bryant Medical Group LLC

  • General Practice Physician
  • New Iberia, LA
  • NPI 1184112450
  Medicare reassignment NPD
• Ladebe LLC

  • Internal Medicine Physician
  • Lafayette, LA
  • NPI 1821216144
  NPD (past)
• Our Lady of Lourdes Regional Medical Center, Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1598766495
  NPD (past)
• Southern Louisiana Rehab LLC

  • Physical Medicine & Rehabilitation Physician
  • Lafayette, LA
  • NPI 1578517728
  NPD (past)
• Stephen W. Darbonne, LLC

  • Internal Medicine Physician
  • Youngsville, LA
  • NPI 1538359419
  NPD (past)
• Youngsville Medical LLC

  • Family Nurse Practitioner
  • Youngsville, LA
  • NPI 1770796161
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Acadian Homecare, LLC

  • Home Health Agency
  • Lafayette, LA
  • NPI 1275580151
  Care Compare affiliation
• Audubon Home Health South Inc

  • Home Health Agency
  • Lafayette, LA
  • NPI 1497187637
  Care Compare affiliation
• Lafayette General Medical Center Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1275536799
  Care Compare affiliation
• Lafayette Physical Rehabilitation Hospital, LLC

  • Rehabilitation Hospital
  • Lafayette, LA
  • NPI 1881628097

  Inpatient rehabilitation facility

  Care Compare affiliation
• LHCG Xiii, LLC

  dba Lourdes Home Health

  • Home Health Agency
  • Lafayette, LA
  • NPI 1598829129
  Care Compare affiliation
• LTAC of Louisiana, LLC

  dba LTAC of Louisiana

  • Long Term Care Hospital
  • Lafayette, LA
  • NPI 1205075181

  Long-term care hospital

  Care Compare affiliation
• Our Lady of Lourdes Regional Medical Center, Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1598766495
  Care Compare affiliation
• Park Place Surgery Center, LLC

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1215996632
  Care Compare affiliation

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1841306255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 ALBERTSON PKWY STE F",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705185256",
            "telephone_number": "337-837-3615",
            "fax_number": "337-839-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 ALBERTSON PKWY STE F",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705185256",
            "telephone_number": "337-837-3615",
            "fax_number": "337-839-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELGODERE-BONILLA",
        "first_name": "JORGE",
        "middle_name": "RAFAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD025916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Assured Medical,Inc
• Kyle Babin, DPT
• Ariel Babineaux, PT
• Melanie Baker Russo
• Kristian Dawn Barbay
• Victoria Ann Bell
• Michelle Lee Benoit, FNP
• David Joseph Bernard, EMT
• Terry Peterson Berniard, M.S., CCC-SLP
• John Austin Berry, PT, DPT

• Internal Medicine Physician in Broussard, LA
• Providers in Broussard, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.