DR. JOHN DEWAARD DO
NPI 1629647805
Family Medicine - Sports Medicine in Baton Rouge, LA

Q: What is John Dewaard's NPI number?

The NPI number for John Dewaard is 1629647805. It was assigned to this individual provider in the NPPES registry on June 22, 2021.

Q: What is John Dewaard's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for John Dewaard was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.

Active since June 22, 2021PECOS EnrolledAccepts Medicare Assignment

10310 THE GROVE BLVD, BATON ROUGE, LA 70836(225) 388-6630 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 11, 2024, Jun 22, 2021 (2 updates tracked since 2021).

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About Dr. John Dewaard Do NPPES

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

DR. JOHN DEWAARD DO (NPI 1629647805) is an individual sports medicine provider in Baton Rouge, Louisiana, licensed in Louisiana (347471) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center - Baton Rouge, and maintains a secondary practice location in Baton Rouge.

NPPES Registry Identity

NPI1629647805

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameDR. JOHN DEWAARDCredential: DO

Location Address10310 THE GROVE BLVDBaton Rouge, LA 70836-6455

Mailing Address10310 The Grove BlvdBaton Rouge, LA 70836-6455 · (225) 388-6630 · Fax (225) 761-5702

Phone(225) 388-6630

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJune 22, 2021

Last NPPES UpdateOctober 17, 20252 updates tracked since enumeration

NPPES CertifiedOctober 17, 2025

✔ NPI 1629647805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in LA · 347471

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 5101028098 (MI)

10310 THE GROVE BLVD, Baton Rouge, LA 70836

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Secondary Practice Location 1

Location 15444 Burbank DrBaton Rouge, LA 70820-4011 · Phone (225) 388-6900

Other Identifiers 1

Medicaid470553011-00NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

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

Dr. John Dewaard Do 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 ID2466840988

PECOS Enrollment IDI20260116003852

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.

Ochsner Medical Center - Baton Rouge

Acute Care Hospitals · Baton Rouge, LA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190202

Location17000 Medical Center DrBaton Rouge, LA 70816 · E. Baton Rouge County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70836 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MANDY GAYLE KEOWN FNP

Nurse Practitioner (Family)