Individual provider Active NPI

Troy James Prevot, PA

  • Physician Assistant
  • Baton Rouge, LA
National Provider Identifier
1962437970
Registry record updated Jun 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.A10161.RX Issued in LA
Practice address
2351 Energy Dr
Suite 2000
Baton Rouge, LA 70808-2618
Phone
(225) 274-6760
Fax
(225) 216-4299
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.A10161.RX LA Primary

Addresses

Primary practice location

2351 Energy Dr
Suite 2000
Baton Rouge, LA 70808-2618

Mailing address

242 Shady Lake PL W
Baton Rouge, LA 70810-4332
Phone (225) 274-6760

Other identifiers 1

IdentifierTypeStateIssuer
1349976MedicaidLA

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060329000209 LA Practitioner - Physician Assistant 5193733426 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baton Rouge Orthopaedic Clinic LLCGroup PAC ID 3274446414, 142 clinicians

Practice addresses (Care Compare)

8080 Bluebonnet Blvd
Baton Rouge, LA 70810-7827

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.A10161.RXLAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge Orthopaedic Clinic CurrentSince Apr 1, 2006 Accepting new patients
Convenient Care LLC CurrentSince Jan 11, 2006 Accepting new patients
Baton Rouge Orthopaedic Clinic, LLC CurrentSince Apr 1, 2006 Accepting new patients
Convenient Care LLC CurrentSince Jan 11, 2006 Accepting new patients
Ochsner Clinic LLC CurrentSince Sep 16, 2019 Accepting new patients
Ochsner Clinic LLC CurrentSince Sep 16, 2019 Accepting new patients

Locations

8080 Bluebonnet Blvd
Ste 1000
Baton Rouge, LA 70810
Phone (225) 408-6633

12525 Perkins Rd
#B
Baton Rouge, LA 70810
Phone (225) 819-8857

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339891200000",
    "number": "1962437970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 SHADY LAKE PL W",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708104332",
            "telephone_number": "225-274-6760",
            "fax_number": "225-216-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 ENERGY DR",
            "address_2": "SUITE 2000",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708082618",
            "telephone_number": "225-274-6760",
            "fax_number": "225-216-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREVOT",
        "first_name": "TROY",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2012-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA.A10161.RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1349976",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.