CLARISSA VITALINA REYNOSO AZURIS MD
NPI 1669877908
Pediatrics in Baton Rouge, LA

Q: What is Clarissa Reynoso Azuris's NPI number?

The NPI number for Clarissa Reynoso Azuris is 1669877908. It was assigned to this individual provider in the NPPES registry on October 29, 2014. The provider is also known as Clarissa V Reynoso Azuris MD.

Q: What is Clarissa Reynoso Azuris's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since October 29, 2014PECOS EnrolledAccepts Medicare Assignment

8415 GOODWOOD BLVD STE 202, BATON ROUGE, LA 70806(225) 765-8013(225) 765-2033 Get Directions Write a Review

NPPES record last updated: May 31, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 31, 2026, Mar 14, 2023, Sep 12, 2022 and 2 more (5 updates tracked since 2017).

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About Clarissa Vitalina Reynoso Azuris Md NPPES

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

CLARISSA VITALINA REYNOSO AZURIS MD (NPI 1669877908) is an individual pediatrics provider in Baton Rouge, Louisiana, licensed in Louisiana (334001) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Greenwood, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1669877908

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameCLARISSA VITALINA REYNOSO AZURISCredential: MD

Location Address8415 GOODWOOD BLVD STE 202Baton Rouge, LA 70806-7851

Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (225) 765-8013 · Fax (225) 765-9196

Phone(225) 765-8013

Fax(225) 765-2033

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateOctober 29, 2014

Last NPPES UpdateMay 31, 20265 updates tracked since enumeration

NPPES CertifiedMay 31, 2026

✔ NPI 1669877908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in LA · 334001

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

8415 GOODWOOD BLVD STE 202, Baton Rouge, LA 70806

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Other Names 1

Other Name (5)Clarissa V Reynoso Azuris Md

Secondary Practice Location 1

Location 1113 Liner DrGreenwood, SC 29646-2311 · Phone (864) 941-8170

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, First Choice Next, 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 and accepts Medicare assignment

Clarissa Vitalina Reynoso Azuris Md 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 ID6305216839

PECOS Enrollment IDI20221228000557

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70806 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.

BERNICE KLENAM ARABA MENSAH

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