Individual provider Active NPI

Justin William Fontenot, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Lafayette, LA
National Provider Identifier
1881790632
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
026605 Issued in LA
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

Updated by the provider on Jul 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1057843MedicaidLA

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
I20050627000506 LA Practitioner - EndocrinologyPractitioner - Internal MedicinePractitioner - Emergency Medicine 5799720108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Emergency Medicine, Internal Medicine
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
Lafayette Arthritis and Endocrine Clinic ApmcGroup PAC ID 1759301203, 12 clinicians

Practice addresses (Care Compare)

4212 W Congress St
Suite 2300a
Lafayette, LA 70506-6778
Phone 3372377801206

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.85 of 100Reported as individual
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

LicenseStateTypeSpecialty
026605LAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Arthritis and Endocrine Clinic Apmc Endocrinology, Diabetes & Metabolism CurrentSince Jun 1, 2008 Accepting new patients
Jaime M. Cordova, M.D., Apmc CurrentSince Dec 1, 2021 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

  • Direct secure messaging: justin.fontenot@laec.eclinicaldirectplus.com
  • FHIR API: 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.

Hospital & facility affiliations 6

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

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

Verify at the official NPI Registry.