Active NPI
Justin William Fontenot, MD
- Endocrinology, Diabetes & Metabolism Physician
- Lafayette, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 026605
- Practice address
- 4212 W Congress St Ste 2300a
Lafayette, LA 70506-6778 - Phone
- (337) 237-7801
- Fax
- (337) 235-1865
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 026605 | LA | Primary |
Addresses
Primary practice location
4212 W Congress St Ste 2300a
Lafayette, LA 70506-6778
Mailing address
4212 W Congress St Ste 2300a
Lafayette, LA 70506-6778
Phone (337) 237-7801
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1057843 | Medicaid | LA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Louisiana State University School of Medicine in Shreveport, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4212 W Congress St
Suite 2300a
Lafayette, LA 70506-6778
Phone 3372377801206
Hospital & facility affiliations
- Centerwell Home Health
- Ochsner Lafayette General Medical Center
- Our Lady of Lourdes Regional Medical Center, Inc
- Ochsner St Martin Hospital
- Abbeville General Hospital
- Ochsner American Legion Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.85 of 100
- Quality
- 91.95
- Improvement activities
- 40
- Cost
- 73.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026605 | LA | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lafayette Arthritis and Endocrine Clinic Apmc | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| Jaime M. Cordova, M.D., Apmc | Current | Accepting new patients |
Locations
401 Audubon Blvd
Ste 102B
Lafayette, LA 70503
Phone (337) 237-7801
4212 W Congress St
Ste 2300A
Lafayette, LA 70506
Phone (337) 237-7801
1223 Camellia Blvd
Ste 100
Lafayette, LA 70508
Phone (337) 270-9093
Interoperability endpoints
- justin.fontenot@laec.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/DBHACA
Organizations & group practices 2
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Lafayette, LA
- NPI 1578513149
-
- Primary Care Clinic/Center
- Breaux Bridge, LA
- NPI 1447554365
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Abbeville, LA
- NPI 1255300414
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1275536799
-
- General Acute Care Hospital
- Jennings, LA
- NPI 1184373268
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1598766495
-
- Critical Access Hospital
- Breaux Bridge, LA
- NPI 1437482817
-
- Home Health Agency
- Jennings, LA
- NPI 1891787123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595548800000",
"number": "1881790632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4212 W CONGRESS ST STE 2300A",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705066778",
"telephone_number": "337-237-7801",
"fax_number": "337-235-1865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4212 W CONGRESS ST STE 2300A",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705066778",
"telephone_number": "337-237-7801",
"fax_number": "337-235-1865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTENOT",
"first_name": "JUSTIN",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2020-07-24",
"certification_date": "2020-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "LA",
"license": "026605",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1057843",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.