Individual provider Active NPI

Kent M Rhodes, M.D.

  • Internal Medicine Physician
  • Baker, LA
National Provider Identifier
1972553196
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
019949 Issued in LA
Practice address
6516 E Myrtle Ave
Baker, LA 70714-4348
Phone
(225) 765-5500
Fax
(225) 774-5432
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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 019949 LA Primary
Pediatrics Physician 208000000X 019949 LA

Addresses

Primary practice location

6516 E Myrtle Ave
Baker, LA 70714-4348

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 526-0011

Other identifiers 1

IdentifierTypeStateIssuer
1911496MedicaidLA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address krhodes9930@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

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
I20041216000174 LA Practitioner - Pediatric MedicinePractitioner - Internal Medicine 3577520055 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Our Lady of the Lake Physician Group LLCGroup PAC ID 4587849781, 637 clinicians

Practice addresses (Care Compare)

11424 Sullivan Rd
Suite C
Baton Rouge, LA 70818-3615
Phone (225) 765-5500

6516 E Myrtle Ave
Baker, LA 70714-4348
Phone (225) 774-7320

7777 Hennessy Blvd
Baton Rouge, LA 70808-4363

Hospital & facility affiliations

  • Lane Home Health an Affiliate of Lane Reg Medical Home health agency, Zachary, LA, CCN 197149
  • Elara Caring Home health agency, Baton Rouge, LA, CCN 197232
  • Lane Regional Medical Center Hospital, Zachary, LA, CCN 190020
  • Our Lady of the Lake Regional Medical Center Hospital, Baton Rouge, LA, CCN 190064
  • Womans Hospital Hospital, Baton Rouge, LA, CCN 190128

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019949LAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lsuhn Billing LLC CurrentSince Apr 28, 2008 Accepting new patients
Our Lady of the Lake Physician Group, LLC CurrentSince May 23, 2016 Accepting new patients
Our Lady of the Lake Physician Group LLC CurrentSince May 23, 2016 Accepting new patients
Lsuhn Billing LLC CurrentSince Apr 28, 2008 Accepting new patients
Our Lady of the Lake Physician Group LLC Internal Medicine Current Accepting new patients
C & M Medical Services, Inc. Past Accepting new patients
Our Lady of the Lake Physician Group LLC Past Accepting new patients

Locations

6516 E Myrtle Ave
Baker, LA 70714
Phone (225) 774-7320

6516 E Myrtle Ave
#P
Baker, LA 70714

3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615

11424 Sullivan Rd
#A-C
Baton Rouge, LA 70818
Phone (225) 261-7021

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

5131 Odonovan Dr
Ste 500
Baton Rouge, LA 70808
Phone (225) 374-0031

5825 Airline Hwy
Baton Rouge, LA 70805
Phone (225) 358-1000

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

6300 Main St
Zachary, LA 70791
Phone (225) 570-2618

Interoperability endpoints

  • Direct secure messaging: krhodes9930@direct.casso.us.com

Organizations & group practices 7

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 10

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1972553196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-526-0011",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6516 E MYRTLE AVE",
            "city": "BAKER",
            "state": "LA",
            "postal_code": "707144348",
            "telephone_number": "225-765-5500",
            "fax_number": "225-774-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "KENT",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "019949",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "019949",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1911496",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krhodes9930@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "krhodes9930@direct.casso.us.com",
            "address_1": "6516 E Myrtle Ave",
            "city": "Baker",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707144348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "6516 E Myrtle Ave",
            "city": "Baker",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707144348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baker, LA

Sources for this page

Verify at the official NPI Registry.