Kenneth Odinet, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

MD019937 Issued in LA

Practice address

200 Beaullieu Dr
Building 6
Lafayette, LA 70508-7230

Phone

(337) 234-8648

Fax

(337) 233-0244

NPI assigned

Nov 18, 2005

Last updated

Apr 29, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Plastic and Reconstructive SurgeryAlso: Hand Surgery, Otolaryngology

Education

Louisiana State University School of Medicine in New Orleans, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Park Place Surgical Hospital Hospital, Lafayette, LA, CCN 190255
• Our Lady of Lourdes Regional Medical Center, Inc Hospital, Lafayette, LA, CCN 190102

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Kenneth L. Odinet, Jr., D.D.S., M.D., Apmc

  • Plastic Surgery Physician
  • Lafayette, LA
  • NPI 1881972735

  Otolaryngology

  Medicare reassignment NPD Authorized official
• The Burn Surgeons of Acadiana, LLC

  • Surgery Physician
  • Lafayette, LA
  • NPI 1619234176
  Medicare reassignment
• Kenneth L. Odinet MD, ASC-LLC

  • Ambulatory Surgical Clinic/Center
  • Lafayette, LA
  • NPI 1427325364
  NPD (past) Authorized official

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

• Our Lady of Lourdes Regional Medical Center, Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1598766495
  Care Compare affiliation
• Park Place Surgery Center, LLC

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1215996632
  Care Compare affiliation

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304035200000",
    "number": "1942282389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BEAULLIEU DR",
            "address_2": "BUILDING 6",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087230",
            "telephone_number": "337-234-8648",
            "fax_number": "337-233-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BEAULLIEU DR",
            "address_2": "BUILDING 6",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087230",
            "telephone_number": "337-234-8648",
            "fax_number": "337-233-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODINET",
        "first_name": "KENNETH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2011-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": "MD019937",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "LA",
            "license": "MD019937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1388050",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ochsner Clinic LLC (Ochsner Health Center - Lafayette)
• Ochsner Clinic LLC (Ochsner Maternal Fetal Medicine - Lafayette)
• Ochsner Clinic LLC (Ochsner Health Center-Corporate Boulevard)
• Ochsner Clinic LLC (Ochsner Health Center - Hepatology)
• Ochsner Clinic LLC (LGOC Ochsner Spine Surgery)
• Michael L Odinet, M.D.
• Nancy Odom, RPH
• Scott T Odom, D.D.S.
• Linda K Oge, M.D.
• Amy Denise Ohlenforst

• Plastic Surgery Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Plastic Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; 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.

Verify at the official NPI Registry.