ROBERT SUDDUTH
NPI 1639602253
Family Medicine in Denham Springs, LA
About Robert Sudduth NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROBERT SUDDUTH (NPI 1639602253) is an individual family medicine provider in Denham Springs, Louisiana, licensed in Louisiana (323131) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Baton Rouge General Medical Center, and maintains a secondary practice location in Baton Rouge.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Robert Sudduth 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.
Areas of Expertise CMS Part B claims 9
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baton Rouge General Medical Center
Acute Care Hospitals · Baton Rouge, LAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 70726 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DENHAM SPRINGS, LA 70726
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 Robert Sudduth's NPI number?
The NPI number for Robert Sudduth is 1639602253. It was assigned to this individual provider in the NPPES registry on April 10, 2017.
Where is Robert Sudduth located?
Robert Sudduth practices at 1286 Del Este Ave, Denham Springs, LA 70726. The listed phone number is (225) 667-3100.
What is Robert Sudduth's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Robert Sudduth enrolled in Medicare?
Yes. Robert Sudduth 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.
What insurance does Robert Sudduth accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Robert Sudduth 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.
Is Robert Sudduth affiliated with any hospitals?
According to CMS data, Robert Sudduth is affiliated with Baton Rouge General Medical Center.
When was this NPI record last updated?
The NPPES record for Robert Sudduth was last updated on September 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
