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DR. JAMES ROBERT UPP JR. MD
NPI 1154387314
Surgery - Pediatric Surgery in Baton Rouge, LA

Active since April 25, 2006PECOS Enrolled
8200 CONSTANTIN BLVD STE 220, BATON ROUGE, LA 70809(225) 769-2295(225) 769-2297 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. James Robert Upp Jr. Md NPPES

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

DR. JAMES ROBERT UPP JR. MD (NPI 1154387314) is an individual pediatric surgery provider in Baton Rouge, Louisiana, licensed in Louisiana (017200) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154387314
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameDR. JAMES ROBERT UPP JR.Credential: MD
Location Address8200 CONSTANTIN BLVD STE 220Baton Rouge, LA 70809-3481
Mailing Address7777 Hennessy Blvd, Suite 212Baton Rouge, LA 70808-4300 · (225) 769-2295 · Fax (225) 769-2297
Phone(225) 769-2295
Fax(225) 769-2297
Sole ProprietorNo
Enumeration DateApril 25, 2006
Last NPPES UpdateJune 25, 2020
NPPES CertifiedJune 25, 2020
✔ NPI 1154387314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in LA · 017200
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
8200 CONSTANTIN BLVD STE 220, Baton Rouge, LA 70809
Open in Google Maps ↗

Other Identifiers 1

Medicaid1925128LA

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James Robert Upp Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show James Upp reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ochsner Clinic LLC
0.8 mi
Internal Medicine
10310 THE GROVE BLVD
Baton Rouge, LA 70836
  • Reassigned Medicare billing, Louisiana enrollment
  • 4,559 clinicians in this Medicare group
NPI 1407848443 (225) 761-5200

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

Other Providers at the Same Location NPPES 3

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

DR. FAITH HANSBROUGH MD
Surgery (Pediatric Surgery)
8200 CONSTANTIN BLVD STE 220
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 769-2295
JAMES HUNTER WOOD M.D.
Surgery (Pediatric Surgery)
8200 CONSTANTIN BLVD STE 220
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 769-2295
JOHN B LOPOO JR. MD
Surgery (Pediatric Surgery)
8200 CONSTANTIN BLVD STE 220
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 769-2295

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 James Upp's NPI number?

The NPI number for James Upp is 1154387314. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is James Upp located?

James Upp practices at 8200 Constantin Blvd Ste 220, Baton Rouge, LA 70809. The listed phone number is (225) 769-2295.

What is James Upp's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is James Upp enrolled in Medicare?

Yes. James Upp is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Upp's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Upp reassigns Medicare benefits to Ochsner Clinic LLC (Baton Rouge, LA). The 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 James Upp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Upp accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list James Upp 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 James Upp was last updated on June 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.