Individual provider Active NPI

Luidji Jean Kersaint Louissaint Sr., MD

  • Physician Assistant
  • Pompano Beach, FL
National Provider Identifier
1952989709
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
147 Issued in FL
Practice address
2071 W Atlantic Blvrd
Apt 102
Pompano Beach, FL 33069
Phone
(954) 699-6562
NPI assigned
Apr 1, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 1209P.A. PR
Physician Assistant 363A00000X 9055 AZ
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 147 FL Primary

Addresses

Primary practice location

2071 W Atlantic Blvrd
Apt 102
Pompano Beach, FL 33069

Mailing address

2071 W Atlantic Blvd Apt 102
Pompano Beach, FL 33069-2749
Phone (954) 699-6562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260225002646 AZ Practitioner - Physician Assistant 9032690284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chestnut Health of Arizona PLLCGroup PAC ID 7517452022, 4 clinicians

Practice addresses (Care Compare)

11812 N 19TH Ave
Phoenix, AZ 85029-3536
Phone (602) 900-8828

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9055AZMDPhysician Assistant
147FLMDPhysician Assistant
1209P.A.PRMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chestnut Health of Arizona PLLC Multi-Specialty CurrentSince Jan 1, 2026 Accepting new patients

Locations

4635 N 14th St
Phoenix, AZ 85014
Phone (602) 264-9039

11812 N 19th Ave
Phoenix, AZ 85029
Phone (602) 833-4177

Organizations & group practices 1

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": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1952989709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2071 W ATLANTIC BLVD APT 102",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330692749",
            "telephone_number": "954-699-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2071 W ATLANTIC BLVRD",
            "address_2": "APT 102",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "33069",
            "telephone_number": "954-699-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUISSAINT",
        "first_name": "LUIDJI",
        "middle_name": "JEAN KERSAINT",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-01",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "1209P.A.",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "9055",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.