Joseph Anthony Enriquez, DO
Individual provider Active NPI Family Medicine Physician · Delhi, LA
NPI 1902484801 · NPPES record last updated Jun 13, 2024
Key facts
- NPI
- 1902484801
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 31924 (MS)
- Practice address
- 508 Broadway St
Delhi, LA 71232-3002 - Phone
- (318) 878-3737
- NPI assigned
- Mar 31, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- William Carey University College of Osteopathic Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospital Service District No 1a of the Parish of Richland State of la
Practice addresses (Care Compare)
407 Cincinnati St
Delhi, LA 71232-3007
Phone (318) 878-5171
Hospital & facility affiliations
- Richland Parish Hospital-Delhi
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241019000225 | LA | Practitioner - Family Practice | 3375941909 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31924 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Service District No 1-a of the Parish of Richland State of la | Current |
Accepting new patients | |
| Hospital Service District No 1-a of the Parish of Richland State of la | Current |
Accepting new patients | |
| Hospital Service District No 1-a of the Parish of Richland State of la | Family Medicine | Current |
Accepting new patients |
| Hospital Service District No 1-a of the Parish of Richland State of la | Past | Accepting new patients |
Locations
407 Cincinnati St
Delhi, LA 71232
Phone (318) 878-5171
508 Broadway St
Delhi, LA 71232
Phone (318) 878-3737
Interoperability endpoints
- joseph.enriquez.1@20428.direct.athenahealth.com
- joseph.enriquez.1@13199.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 31924 | MS | Yes |
Addresses
Primary practice location
508 Broadway St
Delhi, LA 71232-3002
Mailing address
100 Common Pointe Dr
Flowood, MS 39232-8405
Phone (318) 235-1085
Other practice location 1
2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-5426
Other providers in Delhi, LA
- Edward H. Eiland Jr.
- Jill Nicole Elias
- Jacinta Elzy
- Lyndsey Englerth
- Jose R. Enriquez
- Michelle Ezell
- Courtney Fallin
- Leroy Fields Jr.
- Angela Franklin
- Fred Fulton IV
All providers in Delhi, LA · Family Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.