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JKL HEALTHCARE SERVICES LLC
NPI 1063628055
Internal Medicine in New Iberia, LA

Active since May 15, 2007CLIA 19D1033955 · Waiver
520 N LEWIS ST, SUITE 100, NEW IBERIA, LA 70563(337) 367-8220(337) 367-8108 Get Directions Write a Review

NPPES record last updated: June 17, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jkl Healthcare Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JKL HEALTHCARE SERVICES LLC (NPI 1063628055) is a healthcare organization registered as an internal medicine in New Iberia, Louisiana and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through November 21, 2026 and lists Kimberly Smith, Physician, as its authorized official.

NPPES Registry Identity

NPI1063628055
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameJKL HEALTHCARE SERVICES LLC
Location Address520 N LEWIS ST, SUITE 100New Iberia, LA 70563-2094
Mailing Address520 N Lewis St, Suite 100New Iberia, LA 70563-2094 · (337) 367-8220 · Fax (337) 367-8108
Phone(337) 367-8220
Fax(337) 367-8108
Organization SubpartNo
Authorized OfficialKimberly SmithPhysician · (337) 367-8220
Enumeration DateMay 15, 2007
Last NPPES UpdateJune 17, 2013
✔ NPI 1063628055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in LA · 024930
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
520 N LEWIS ST, New Iberia, LA 70563
Open in Google Maps ↗

Other Identifiers 2

Medicare UPIN5CN52LA
Medicare PIN5CN52LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jkl Healthcare Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateLouisianaEnrollment IDO20050203000138Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jkl Healthcare Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kimberly Smith, M.D.,
Internal Medicine
NPI 1073500344
520 N LEWIS ST SUITE 100
New Iberia, LA 70563
(337) 367-8220
✔ PECOS0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D1033955

Jkl Healthcare Services LLC · New Iberia, LA
Active · expires Nov 21, 2026
CLIA Number19D1033955
Laboratory TypePhysician Office
Certificate Effective DateNovember 22, 2024
Certificate Expiration DateNovember 21, 2026
Laboratory DirectorKimberly R. Smith
Laboratory Phone(337) 367-8220
Laboratory LocationJkl Healthcare Services LLC520 N Lewis Street Suite 100, New Iberia, LA 70563
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jkl Healthcare Services LLC's NPI number?

The NPI number for Jkl Healthcare Services LLC is 1063628055. It was assigned to this organization in the NPPES registry on May 15, 2007.

Where is Jkl Healthcare Services LLC located?

Jkl Healthcare Services LLC is located at 520 N Lewis St Suite 100, New Iberia, LA 70563. The listed phone number is (337) 367-8220.

What is Jkl Healthcare Services LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jkl Healthcare Services LLC enrolled in Medicare?

Yes. Jkl Healthcare Services LLC is registered in the Medicare PECOS enrollment system.

When is Jkl Healthcare Services LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Louisiana, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Jkl Healthcare Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Jkl Healthcare Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Jkl Healthcare Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D1033955) is associated with this NPI, valid through November 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jkl Healthcare Services LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Jkl Healthcare Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jkl Healthcare Services LLC was last updated on June 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.