NPIMap

Individual provider Active NPI

Jimmy L Kittrell Jr., MD

  • Internal Medicine Physician
  • Slidell, LA
National Provider Identifier
1952444754
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.024281 Issued in LA
Practice address
985 Robert Blvd Ste 105
Slidell, LA 70458-2063
Phone
(985) 661-6215
NPI assigned
Feb 14, 2007
Last updated
Nov 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17573 MS
Internal Medicine Physician 207R00000X MD.024281 LA Primary

Addresses

Primary practice location

985 Robert Blvd Ste 105
Slidell, LA 70458-2063

Mailing address

64301 Highway 434
Lacombe, LA 70445-5411
Phone (985) 882-4500

Other identifiers 1

IdentifierTypeStateIssuer
09014343MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040913000584 LA Practitioner - Internal MedicinePractitioner - Pediatric MedicinePractitioner - Emergency Medicine 6800863564 Reassigns benefits to 3 organizations
I20100701000727 MS Practitioner - Family Practice 6800863564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paradigm Health SystemGroup PAC ID 7012162464, 36 clinicians

Practice addresses (Care Compare)

64301 Hwy 434
Lacombe, LA 70445-5411
Phone (985) 882-4500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.024281LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Internal Medicine CurrentSince Dec 18, 2023 Accepting new patients
Paradigm Health System Current Accepting new patients
Highland Community Hospital Physicians Internal Medicine CurrentSince Mar 1, 2014 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Paradigm Health System CurrentSince May 1, 2024 Accepting new patients
Slidell Memorial Hospital CurrentSince Jan 29, 2018 Accepting new patients
Ochsner Clinic LLC CurrentSince Dec 18, 2023 Accepting new patients
Slidell Memorial Hospital Past Accepting new patients

Locations

64301 Highway 434
Lacombe, LA 70445
Phone (985) 520-0909

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

1001 Gause Blvd
#75
Slidell, LA 70458
Phone (985) 280-3609

1051 Gause Blvd
Ste 225
Slidell, LA 70458
Phone (504) 781-5600

1120 Robert Blvd
Ste 200
Slidell, LA 70458
Phone (985) 646-2223

1150 Robert Blvd
Slidell, LA 70458
Phone (985) 280-8823

140 E I 10 Service Rd
Slidell, LA 70461
Phone (985) 280-9909

1850 Gause Blvd E
Ste 202
Slidell, LA 70461
Phone (985) 639-3718

985 Robert Blvd
Ste 105
Slidell, LA 70458
Phone (985) 646-2303

987 Robert Blvd
Slidell, LA 70458

146 Highland Pkwy
Ste C
Picayune, MS 39466
Phone (601) 358-9765

Interoperability endpoints

  • Direct secure messaging: jimmy.kittrell.1@3401.direct.athenahealth.com

Organizations & group practices 8

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 7

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1952444754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64301 HIGHWAY 434",
            "city": "LACOMBE",
            "state": "LA",
            "postal_code": "704455411",
            "telephone_number": "985-882-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 ROBERT BLVD STE 105",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582063",
            "telephone_number": "985-661-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTRELL",
        "first_name": "JIMMY",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "17573",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.024281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09014343",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.