DR. JEFFREY ELTING DEYO MD, PHD
NPI 1619962032
Pediatrics - Pediatric Hematology-Oncology in Baton Rouge, LA

Q: What is Jeffrey Deyo's NPI number?

The NPI number for Jeffrey Deyo is 1619962032. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Q: What is Jeffrey Deyo's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Deyo was last updated on August 31, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 12, 2005PECOS Enrolled

8300 CONSTANTIN BLVD, BATON ROUGE, LA 70809(225) 763-6337(225) 374-4661 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Jeffrey Elting Deyo Md, Phd NPPES

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

DR. JEFFREY ELTING DEYO MD, PHD (NPI 1619962032) is an individual pediatric hematology-oncology provider in Baton Rouge, Louisiana, licensed in Louisiana (15187R) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Lafayette.

NPPES Registry Identity

NPI1619962032

Entity TypeIndividualMale

Primary Taxonomy2080P0207X

Provider Legal NameDR. JEFFREY ELTING DEYOCredential: MD, PHD

Location Address8300 CONSTANTIN BLVDBaton Rouge, LA 70809-3489

Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (225) 526-0002 · Fax (225) 765-9196

Phone(225) 763-6337

Fax(225) 374-4661

Sole ProprietorNo

Enumeration DateSeptember 12, 2005

Last NPPES UpdateAugust 31, 2021

NPPES CertifiedAugust 31, 2021

✔ NPI 1619962032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

License✔ Licensed in LA · 15187R

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

Also ListedPediatricsTaxonomy 208000000X · License 15187R (LA)

8300 CONSTANTIN BLVD, Baton Rouge, LA 70809

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Secondary Practice Location 1

Location 15000 Ambassador Caffery Pkwy Ste 101Lafayette, LA 70508-6984 · Phone (225) 763-6337 · Fax (225) 761-4072

Other Identifiers 1

Medicaid1193500LA

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeffrey Elting Deyo Md, Phd 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.

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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.

DR. RICHARD FRANCIS LASSEIGNE JR. MD

Pediatrics