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JUAN M FUKUDA M.D.
NPI 1154314904
Specialist in Lafayette, LA

Active since August 26, 2005PECOS EnrolledAccepts Medicare Assignment
4600 AMBASSADOR CAFFERY PKWY, PEDIATRIC EMERGENCY MEDICINE, LAFAYETTE, LA 70508(337) 521-9027(337) 521-9164 Get Directions Write a Review

NPPES record last updated: February 4, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Juan M Fukuda M.d. NPPES

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

JUAN M FUKUDA M.D. (NPI 1154314904) is an individual specialist in Lafayette, Louisiana, licensed in Louisiana (14374R) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Regional Medical Center, Inc, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1154314904
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameJUAN M FUKUDACredential: M.D.
Location Address4600 AMBASSADOR CAFFERY PKWY, PEDIATRIC EMERGENCY MEDICINELafayette, LA 70508-6902
Mailing Address4600 Ambassador Caffery Pkwy, Pediatric Emergency MedicineLafayette, LA 70508-6902 · (337) 521-9027 · Fax (337) 521-9164
Phone(337) 521-9027
Fax(337) 521-9164
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateAugust 26, 2005
Last NPPES UpdateFebruary 4, 2011
✔ NPI 1154314904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in LA · 14374R
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedPediatricsTaxonomy 208000000X · License 14374R (LA)
Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X · License 14374R (LA)
4600 AMBASSADOR CAFFERY PKWY, Lafayette, LA 70508
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Other Identifiers 2

Medicare UPINH25419LA
Medicaid1113166LA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Juan M Fukuda M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597722637
PECOS Enrollment IDI20041210000274
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Our Lady Of Lourdes Regional Medical Center, Inc

Acute Care Hospitals · Lafayette, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190102
Location4801 Ambassador Caffery ParkwayLafayette, LA 70508 · Lafayette County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEDGE DIAGNOSTICS, INC, APMC
Radiology (Diagnostic Radiology)
4600 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508
Lafayette Parish (337) 261-5151
KARL M. VALCOURT M.D.
Pediatrics (Pediatric Critical Care Medicine)
4600 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508
Lafayette Parish (337) 470-2605
NEVA DUCOTE SEAGO MD
Pediatrics (Neonatal-Perinatal Medicine)
4600 AMBASSADOR CAFFERY PKWY, WOMEN'S AND CHILDREN'S HOSPITAL
LAFAYETTE, LA 70508
Lafayette Parish (337) 521-9100
LAFAYETTE OB HOSPITALISTS LLC
Obstetrics & Gynecology
4600 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508
Lafayette Parish (377) 521-9239
ELLIS NGUYEN
Pharmacist
4600 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508
Lafayette Parish (337) 470-5500
ASHISH MAVJIBHAI GOTI M.D.
Hospitalist
4600 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508
Lafayette Parish (337) 470-2605
THE REGIONAL HEALTH SYSTEM OF ACADIANA, LLC
General Acute Care Hospital
4600 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508
Lafayette Parish (337) 521-9100
DR. EBENEZER S. BEDIAKO MD
Pediatrics
4600 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508
Lafayette Parish (337) 470-5500

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 Juan Fukuda's NPI number?

The NPI number for Juan Fukuda is 1154314904. It was assigned to this individual provider in the NPPES registry on August 26, 2005.

Where is Juan Fukuda located?

Juan Fukuda practices at 4600 Ambassador Caffery Pkwy Pediatric Emergency Medicine, Lafayette, LA 70508. The listed phone number is (337) 521-9027.

What is Juan Fukuda's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Juan Fukuda enrolled in Medicare?

Yes. Juan Fukuda is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Juan Fukuda affiliated with any hospitals?

According to CMS data, Juan Fukuda is affiliated with Our Lady Of Lourdes Regional Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Juan Fukuda was last updated on February 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.