Kevin John Jeansonne, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

017483 Issued in LA

Practice address

3704 North Blvd
Suite 1
Alexandria, LA 71301-3606

Phone

(318) 442-8399

Fax

(318) 448-9897

NPI assigned

Jul 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Merit-based Incentive Payment System (MIPS)

Final score

90.65 of 100Reported as group

Quality

86.33

Improvement activities

40

Cost

87.82

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 35)

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.

• Radiology Associates of Southwest Louisiana

  • Diagnostic Radiology Physician
  • Alexandria, LA
  • NPI 1033215710
  Medicare reassignment NPD
• Cenla Images Associates

  dba Cenla Imaging Associates

  • Specialist
  • Alexandria, LA
  • NPI 1013915438
  NPD (past)
• Central Louisiana Imaging Center LLC

  • Radiology Clinic/Center
  • Alexandria, LA
  • NPI 1295733616
  NPD (past)
• Central Louisiana Imaging, Inc.

  • Specialist
  • Alexandria, LA
  • NPI 1578561999
  NPD (past)
• Christus Health Central Louisiana

  dba CHRISTUS St. Frances Cabrini Hospital

  • General Acute Care Hospital
  • Alexandria, LA
  • NPI 1639160799
  NPD (past)
• Minimally Invasive Image Guided Specialists, LLC

  • Specialist
  • Alexandria, LA
  • NPI 1922006345
  NPD (past)
• Second Avenue MRI LLC

  dba Advanced MRI

  • Diagnostic Radiology Physician
  • Lake Charles, LA
  • NPI 1629174339
  NPD (past)

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

{
    "created_epoch": "1120867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304899200000",
    "number": "1871591289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 NORTH BLVD",
            "address_2": "SUITE 1",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013606",
            "telephone_number": "318-442-8399",
            "fax_number": "318-448-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 NORTH BLVD",
            "address_2": "SUITE 1",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013606",
            "telephone_number": "318-442-8399",
            "fax_number": "318-448-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEANSONNE",
        "first_name": "KEVIN",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-09",
        "last_updated": "2011-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "017493",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "017483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1338648",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300083621",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Wonch OD and Associates a P C (Visionworks)
• Daidrion N Jason
• Brandie Nicole Jeanise
• Erica Leigh Jeansonne, APRN, FNP-C
• Kayla Jeansonne
• Sophie Jeansonne, DC
• Jefferson Group Home
• Richard De'Wayne Jefferson Jr.
• Amber Hope Jenkins, BSN, RN
• Davon Lanell Jenkins

• Diagnostic Radiology Physician in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Diagnostic Radiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.