Individual provider Active NPI

Jeffrey D Sibrack, M.D.

  • Psychiatry Physician
  • Lafayette, LA
National Provider Identifier
1962744284
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD.207218 Issued in LA
Practice address
309 Saint Julien Ave
Lafayette, LA 70506-4655
Phone
(337) 706-1940
NPI assigned
Mar 25, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD.207218 LA Primary
Internal Medicine Physician 207R00000X MD.207218 LA

Addresses

Primary practice location

309 Saint Julien Ave
Lafayette, LA 70506-4655

Mailing address

309 Saint Julien Ave Ste 201
Lafayette, LA 70506-4655
Phone (337) 706-1940

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
I20191107003016 LA Practitioner - Internal MedicinePractitioner - Psychiatry 8426330606 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Psychiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospital and Clinics, Inc.Group PAC ID 7113161977, 81 clinicians

Practice addresses (Care Compare)

1317 Jefferson St
Lafayette, LA 70501-7921
Phone (337) 703-6500

Hospital & facility affiliations

  • Ochsner University Hospital and Clinics Hospital, Lafayette, LA, CCN 190006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.207218LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Sep 15, 2019 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
University Hospital & Clinics Inc CurrentSince Jan 26, 2026 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Aug 24, 2019 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Aug 24, 2019 Accepting new patients
Ochsner Clinic LLC Internal Medicine CurrentSince Sep 15, 2019 Accepting new patients
University Hospital and Clinics, Inc. CurrentSince Jan 26, 2026 Accepting new patients

Locations

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

1317 Jefferson St
Lafayette, LA 70501
Phone (337) 261-6000

1057 Paul Maillard Rd
Luling, LA 70070
Phone (985) 785-3655

2400 Canal St
New Orleans, LA 70119
Phone (504) 507-2000

1440 Canal St
Fl Tenth
New Orleans, LA 70112

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1514 Jefferson Hwy
New Orleans, LA 70121

Interoperability endpoints

  • Direct secure messaging: jsibrack796946@direct.ochsner.org

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.

Hospital & facility affiliations 1

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": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1962744284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 SAINT JULIEN AVE STE 201",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064655",
            "telephone_number": "337-706-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 SAINT JULIEN AVE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064655",
            "telephone_number": "337-706-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBRACK",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-25",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "MD.207218",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.207218",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.