Individual provider Active NPI

Joseph Anthony Enriquez, DO

  • Family Medicine Physician
  • Delhi, LA
National Provider Identifier
1902484801
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31924 Issued in MS
Practice address
508 Broadway St
Delhi, LA 71232-3002
Phone
(318) 878-3737
NPI assigned
Mar 31, 2021
Last updated
Jun 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 31924 MS Primary

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

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
I20241019000225 LA Practitioner - Family Practice 3375941909 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 laGroup PAC ID 1456307230, shared by 10 NPIs, 31 clinicians

Practice addresses (Care Compare)

407 Cincinnati St
Delhi, LA 71232-3007
Phone (318) 878-5171

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31924MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Service District No 1-a of the Parish of Richland State of la CurrentSince Nov 19, 2025 Accepting new patients
Hospital Service District No 1-a of the Parish of Richland State of la CurrentSince Sep 10, 2024 Accepting new patients
Hospital Service District No 1-a of the Parish of Richland State of la Family Medicine CurrentSince Sep 10, 2024 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

  • Direct secure messaging: joseph.enriquez.1@13199.direct.athenahealth.com
  • Direct secure messaging: joseph.enriquez.1@20428.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1902484801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COMMON POINTE DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328405",
            "telephone_number": "318-235-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 BROADWAY ST",
            "city": "DELHI",
            "state": "LA",
            "postal_code": "712323002",
            "telephone_number": "318-878-3737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164500",
            "country_code": "US",
            "telephone_number": "601-984-5426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENRIQUEZ",
        "first_name": "JOSEPH",
        "middle_name": "ANTHONY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-31",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "31924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delhi, LA

Sources for this page

Verify at the official NPI Registry.