KYLE JUDE PONTIFF MD
NPI 1902161177
Pediatrics in Baton Rouge, LA

Active since July 12, 2012PECOS Enrolled
8200 CONSTANTIN BLVD FL 1, BATON ROUGE, LA 70809(225) 765-5500(225) 374-1670 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 5, 2021, Jul 12, 2020, May 30, 2019 and 2 more (5 updates tracked since 2016).

About Kyle Jude Pontiff Md NPPES

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

KYLE JUDE PONTIFF MD (NPI 1902161177) is an individual pediatrics provider in Baton Rouge, Louisiana, licensed in Louisiana (207988) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1902161177
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameKYLE JUDE PONTIFFCredential: MD
Location Address8200 CONSTANTIN BLVD FL 1Baton Rouge, LA 70809-3481
Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (225) 765-5500 · Fax (225) 765-9196
Fax(225) 374-1670
Sole ProprietorNo
Enumeration DateJuly 12, 2012
Last NPPES UpdateFebruary 13, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2026
✔ NPI 1902161177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in LA · 207988✔ Licensed in TN · 54631✔ Licensed in LA · GETP.200986
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.
Also ListedPediatrics · Sports MedicineTaxonomy 2080S0010X · License 2020020214 (MO)
8200 CONSTANTIN BLVD FL 1, Baton Rouge, LA 70809

Secondary Practice Locations 4

Location 1848 Adams AveMemphis, TN 38103-2816 · Phone (901) 287-6112
Location 23601 The Vanderbilt ClinicNashville, TN 37232-2816 · Phone (615) 322-3000
Location 32401 Gillham RdKansas City, MO 64108-4619 · Phone (816) 234-3000
Location 45959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · Phone (225) 343-9505 · Fax (225) 343-9171

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyle Jude Pontiff Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Kyle Pontiff reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
7777 HENNESSY BLVD, STE 6002
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 70809 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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
8200 CONSTANTIN BLVD FL 1
BATON ROUGE, LA 70809
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
8200 CONSTANTIN BLVD FL 1
BATON ROUGE, LA 70809
Nurse Practitioner (Family)
8200 CONSTANTIN BLVD FL 1
BATON ROUGE, LA 70809
Orthopaedic Surgery
8200 CONSTANTIN BLVD FL 1
BATON ROUGE, LA 70809
Orthopaedic Surgery
8200 CONSTANTIN BLVD FL 1
BATON ROUGE, LA 70809
Nurse Practitioner (Pediatrics)
8200 CONSTANTIN BLVD FL 1
BATON ROUGE, LA 70809
Nurse Practitioner
8200 CONSTANTIN BLVD FL 1
BATON ROUGE, LA 70809

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 Kyle Pontiff's NPI number?

The NPI number for Kyle Pontiff is 1902161177. It was assigned to this individual provider in the NPPES registry on July 12, 2012.

Where is Kyle Pontiff located?

Kyle Pontiff practices at 8200 Constantin Blvd Fl 1, Baton Rouge, LA 70809. The listed phone number is (225) 765-5500.

What is Kyle Pontiff's specialty?

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

Is Kyle Pontiff enrolled in Medicare?

Yes. Kyle Pontiff is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kyle Pontiff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Pontiff 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 Kyle Pontiff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kyle Pontiff accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Kyle Pontiff 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 Kyle Pontiff was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.