Individual provider Active NPI

Jason Fontenot, M.D.

  • Anesthesiology Physician
  • Malone, NY
National Provider Identifier
1982607255
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
292013 Issued in NY
Practice address
133 Park St
Malone, NY 12953-1244
Phone
(518) 483-3000
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 021093 LA
Anesthesiology Physician 207L00000X 292013 NY Primary

Addresses

Primary practice location

133 Park St
Malone, NY 12953-1244

Mailing address

PO Box 459
Opelousas, LA 70571-0459
Phone (337) 943-7128

Other practice location 1

539 E Prudhomme St
Opelousas, LA 70570-6499
Phone (337) 943-7128

Other identifiers 1

IdentifierTypeStateIssuer
1952117MedicaidLA

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
I20090421000702 LA Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 6800943226 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Louisiana State University School of Medicine in Shreveport, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zephyr Anesthesia LLCGroup PAC ID 1658559125, 161 clinicians
Jefferson Anesthesia ConsultantsGroup PAC ID 8820470057, 22 clinicians

Practice addresses (Care Compare)

1125 W Hwy 30
Gonzales, LA 70737-5004
Phone (225) 765-6565

2701 Lake Villa Dr
Metairie, LA 70002-6701
Phone (504) 832-2115

694 Belle Terre Blvd
La Place, LA 70068-1620
Phone (985) 359-6694

Hospital & facility affiliations

  • Our Lady of the Lake Regional Medical Center Hospital, Baton Rouge, LA, CCN 190064

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021093LAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Anesthesia Consultants Anesthesiology CurrentSince Jun 14, 2022 Accepting new patients
Lafourche Parish Hospital Service District No.1 CurrentSince Jan 1, 2017 Accepting new patients
Youngs Professional Services LLC CurrentSince Nov 16, 2022 Accepting new patients
Osc Anesthesia, LLC Anesthesiology CurrentSince Sep 27, 2025 Accepting new patients
Lafourche Parish Hospital Service District No.1 CurrentSince Jan 1, 2017 Accepting new patients
Hospital Service District No 1 of Iberia Parish CurrentSince Mar 16, 2023 Accepting new patients
Christus Surgery Center Villages LLC Current Accepting new patients
Lake Charles Anesthesiology, Apmc Anesthesiology CurrentSince Jun 20, 2022 Accepting new patients
Hospital Service District No. 1 of Iberia Parish CurrentSince Mar 16, 2023 Accepting new patients
Doctors Anesthesia Anesthesiology Past Accepting new patients
Alice Hyde Medical Center Past Accepting new patients
Interventional Pain Specialists, LLC PastSince Apr 13, 2025 Accepting new patients

Locations

200 W 134th Pl
Cut Off, LA 70345
Phone (985) 325-9300

1757 Imperial Blvd
Lake Charles, LA 70605
Phone (337) 310-2832

524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455

4633 Wichers Dr
Marrero, LA 70072
Phone (504) 347-5421

2701 Lake Villa Dr
Metairie, LA 70002
Phone (504) 274-3100

1207 N Causeway Blvd
Metairie, LA 70001
Phone (504) 832-2115

1100 Andre St
Ste 300
New Iberia, LA 70563
Phone (337) 364-9225

2315 E Main St
New Iberia, LA 70560
Phone (337) 364-0441

3983 I 49 S Service Rd
Opelousas, LA 70570
Phone (337) 407-4512

187 Ventre Blvd
Opelousas, LA 70570
Phone (337) 407-0050

385 Bert Kouns Loop
Ste 300
Shreveport, LA 71106
Phone (318) 212-0552

Interoperability endpoints

  • Direct secure messaging: jfontenot5264644@direct.casso.us.com

Organizations & group practices 13

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.

View all 13

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1982607255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705710459",
            "telephone_number": "337-943-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 PARK ST",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129531244",
            "telephone_number": "518-483-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "539 E Prudhomme St",
            "address_purpose": "LOCATION",
            "city": "Opelousas",
            "state": "LA",
            "postal_code": "705706499",
            "country_code": "US",
            "telephone_number": "337-943-7128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "JASON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "021093",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "292013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952117",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Malone, NY

Sources for this page

Verify at the official NPI Registry.