Individual provider Active NPI

Christopher Michael Funes, M.D.

  • Pediatrics Physician
  • Baton Rouge, LA
National Provider Identifier
1851390090
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD.025392 Issued in LA
Practice address
8415 Goodwood Blvd
Suite 104
Baton Rouge, LA 70806-7851
Phone
(225) 925-9797
Fax
(225) 925-9787
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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 MD.025392 LA Primary

Addresses

Primary practice location

8415 Goodwood Blvd
Suite 104
Baton Rouge, LA 70806-7851

Mailing address

8415 Goodwood Blvd
Suite 104
Baton Rouge, LA 70806-7851
Phone (225) 925-9797

Other identifiers 1

IdentifierTypeStateIssuer
1429490MedicaidLA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cfunes2070@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

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
I20060915000519 LA Practitioner - Pediatric Medicine 1951306406 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of the Lake Physician Group LLC Pediatrics CurrentSince Jul 2, 2012 Accepting new patients
Our Lady of the Lake Physician Group LLC CurrentSince Jul 2, 2012 Accepting new patients
Professional Emergency Physician Associates, LLC Past Accepting new patients
Woman's Hospital Foundation Past Accepting new patients
Our Lady of the Lake Hospital Inc Pediatrics Past Accepting new patients

Locations

8415 Goodwood Blvd
Ste 104
Baton Rouge, LA 70806
Phone (225) 925-9797

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

1401 N Foster Dr
Baton Rouge, LA 70806
Phone (225) 987-9000

2051 Silverside Dr
Ste 260
Baton Rouge, LA 70808
Phone (225) 490-6301

8415 Goodwood Blvd
Ste 105
Baton Rouge, LA 70806
Phone (225) 765-4226

8415 Goodwood Blvd
Ste 202
Baton Rouge, LA 70806
Phone (225) 765-8013

402 N Vaughan Dr
Brusly, LA 70719
Phone (225) 749-2645

2647 S Saint Elizabeth Blvd
Ste 308
Gonzales, LA 70737
Phone (225) 647-5017

4242 Highway 19
Ste C
Zachary, LA 70791
Phone (225) 286-8100

18989 Old Scenic Hwy
Zachary, LA 70791
Phone (225) 654-6140

Interoperability endpoints

  • Direct secure messaging: cfunes2070@direct.casso.us.com

Organizations & group practices 5

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1851390090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 GOODWOOD BLVD",
            "address_2": "SUITE 104",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708067851",
            "telephone_number": "225-925-9797",
            "fax_number": "225-925-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8415 GOODWOOD BLVD",
            "address_2": "SUITE 104",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708067851",
            "telephone_number": "225-925-9797",
            "fax_number": "225-925-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNES",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD.025392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1429490",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cfunes2070@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "cfunes2070@direct.casso.us.com",
            "address_1": "8415 Goodwood Blvd",
            "address_2": "Suite 104",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708067851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "8415 Goodwood Blvd",
            "address_2": "Suite 104",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708067851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.