Active NPI
Jeffrey D Sibrack, M.D.
- Psychiatry Physician
- Lafayette, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD.207218
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1317 Jefferson St
Lafayette, LA 70501-7921
Phone (337) 703-6500
Hospital & facility affiliations
- Ochsner University Hospital and Clinics
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.207218 | LA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| University Hospital & Clinics Inc | Current | Accepting new patients | |
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| Ochsner Clinic LLC | Internal Medicine | Current | Accepting new patients |
| University Hospital and Clinics, Inc. | Current | 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
- 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.
-
- Anesthesiology Physician
- Lafayette, LA
- NPI 1639518087
-
- Specialist
- New Orleans, LA
- NPI 1528014164
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- General Practice Physician
- New Orleans, LA
- NPI 1629232517
-
- Community/Retail Pharmacy
- Lafayette, LA
- NPI 1740739044
-
- Clinic/Center
- Lafayette, LA
- NPI 1265042782
-
- Specialist
- Hattiesburg, MS
- NPI 1033395298
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1306281126
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.