Individual provider Active NPI

Joshua Adam Sibille, MD

  • Vascular Surgery Physician
  • Lafayette, LA
National Provider Identifier
1992029904
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD.205510 Issued in LA
Practice address
5000 Ambassador Caffery Pkwy Ste 100
Lafayette, LA 70508-6984
Phone
(337) 534-4444
NPI assigned
Mar 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X MD.205510 LA Primary
Vascular Surgery Physician 2086S0129X 40595 SC

Addresses

Primary practice location

5000 Ambassador Caffery Pkwy Ste 100
Lafayette, LA 70508-6984

Mailing address

5000 Ambassador Caffery Pkwy Ste 100
Lafayette, LA 70508-6984
Phone (337) 534-4444

Other practice location 1

3980 Highway 9 E Ste 240
Little River, SC 29566-8164
Phone (843) 366-3755

Other practice location 2

1001 Blythe Blvd
Charlotte, NC 28203-5866
Phone (704) 355-4823

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
I20230227000779 LA Practitioner - Vascular SurgeryPractitioner - General Surgery 0840564712 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Louisiana State University School of Medicine in New Orleans, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians

Practice addresses (Care Compare)

155 Hospital Dr
Suite 201
Lafayette, LA 70503-2852
Phone (337) 289-7999

Hospital & facility affiliations

  • Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002
  • Ochsner American Legion Hospital Hospital, Jennings, LA, CCN 190053
  • Acadia General Hospital Hospital, Crowley, LA, CCN 190044
  • Christus St Frances Cabrini Hospital Hospital, Alexandria, LA, CCN 190019
  • Acadian Medical Center Hospital, Eunice, LA, CCN 190318

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)15
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.205510LAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette General Medical Center Inc. CurrentSince May 6, 2023 Accepting new patients
Lafayette Health Ventures Inc Current Accepting new patients
Lafayette General Medical Center Inc. CurrentSince May 6, 2023 Accepting new patients
Lafayette Health Ventures, Inc CurrentSince Feb 26, 2023 Accepting new patients
Lafayette Health Ventures Inc CurrentSince Feb 26, 2023 Accepting new patients
Lafayette General Medical Center Inc Past Accepting new patients
Lafayette General Medical Center Inc Past Accepting new patients

Locations

155 Hospital Dr
Ste 301
Lafayette, LA 70503
Phone (337) 232-1010

155 Hospital Dr
Ste 201
Lafayette, LA 70503
Phone (337) 234-7777

5000 Ambassador Caffery Pkwy
Ste 100
Lafayette, LA 70508
Phone (318) 201-8801

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

Interoperability endpoints

  • Direct secure messaging: jsibille157015@direct.ochsner.org
  • Direct secure messaging: jsibille18974@directmcleodehealth.org

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 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1992029904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 AMBASSADOR CAFFERY PKWY STE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086984",
            "telephone_number": "337-534-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 AMBASSADOR CAFFERY PKWY STE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086984",
            "telephone_number": "337-534-4444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3980 Highway 9 E Ste 240",
            "address_purpose": "LOCATION",
            "city": "Little River",
            "state": "SC",
            "postal_code": "295668164",
            "country_code": "US",
            "telephone_number": "843-366-3755",
            "fax_number": "843-366-3750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Blythe Blvd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282035866",
            "country_code": "US",
            "telephone_number": "704-355-4823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIBILLE",
        "first_name": "JOSHUA",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-19",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "LA",
            "license": "MD.205510",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "SC",
            "license": "40595",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.