Individual provider Active NPI

Robert Faucheux, MD

  • Pediatrics Physician
  • Madisonville, LA
National Provider Identifier
1932103561
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
23079 Issued in LA
Practice address
1520 Highway 22 W
Madisonville, LA 70447-9441
Phone
(985) 773-1600
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 23079 LA Primary

Addresses

Primary practice location

1520 Highway 22 W
Madisonville, LA 70447-9441

Mailing address

1520 Highway 22 W
Madisonville, LA 70447-9441
Phone (985) 773-1600

Other identifiers 1

IdentifierTypeStateIssuer
1484067MedicaidLA

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
I20170801002705 LA Practitioner - Pediatric Medicine 6507137072 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23079LAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Tammany Parish Hospital Service District No 1 CurrentSince Jul 1, 2017 Accepting new patients
St. Tammany Parish Hospital Service District No 1 PastSince Jul 1, 2017 Accepting new patients

Locations

71338 Highway 21
Ste 102
Covington, LA 70433
Phone (985) 773-1660

1520 Highway 22 W
Madisonville, LA 70447
Phone (985) 773-1600

Interoperability endpoints

  • Direct secure messaging: rfaucheux311986@direct.ochsner.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1932103561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 HIGHWAY 22 W",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704479441",
            "telephone_number": "985-773-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 HIGHWAY 22 W",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704479441",
            "telephone_number": "985-773-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUCHEUX",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "23079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1484067",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, LA

Sources for this page

Verify at the official NPI Registry.