CLARISSA VITALINA REYNOSO AZURIS MD
NPI 1669877908
Pediatrics in Baton Rouge, LA
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
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Clarissa Reynoso Azuris reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baton Rouge, LA 70808
- Reassigned Medicare billing, Louisiana enrollment
- 873 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
BATON ROUGE, LA 70806
BATON ROUGE, LA 70806
BATON ROUGE, LA 70806
BATON ROUGE, LA 70806
BATON ROUGE, LA 70806
BATON ROUGE, LA 70806
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 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.
Where is Clarissa Reynoso Azuris located?
Clarissa Reynoso Azuris practices at 8415 Goodwood Blvd Ste 202, Baton Rouge, LA 70806. The listed phone number is (225) 765-8013.
What is Clarissa Reynoso Azuris's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Clarissa Reynoso Azuris enrolled in Medicare?
Yes. Clarissa Reynoso Azuris 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.
Which organization bills Medicare for Clarissa Reynoso Azuris's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clarissa Reynoso Azuris reassigns Medicare benefits to Our Lady Of The Lake Physician Group 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 Clarissa Reynoso Azuris's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Clarissa Reynoso Azuris accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Clarissa Reynoso Azuris 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 Clarissa Reynoso Azuris was last updated on May 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Clarissa Vitalina Reynoso Azuris, MD · NPI 1669877908
Pediatrics physician in Baton Rouge, Louisiana. Individual provider, active in the CMS NPPES registry since October 29, 2014.
## Identity
- **NPI:** 1669877908 (Entity type: Individual)
- **Enumerated:** October 29, 2014
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 334001 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 8415 GOODWOOD BLVD STE 202, Baton Rouge, LA 70806-7851
- **Phone:** (225) 765-8013 · **Fax:** (225) 765-2033
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Our Lady Of The Lake Physician Group LLC (NPI 1235912502, Baton Rouge, LA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** May 31, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1669877908) · Data from the CMS NPPES public registry.