1. Home
  2. Directory
  3. Louisiana
  4. Prairieville
  5. Family Medicine
  6. NPI Profile

JAMES DANTONI M.D.
NPI 1922007491
Family Medicine in Prairieville, LA

Active since July 18, 2005PECOS EnrolledAccepts Medicare Assignment
17609 OLD JEFFERSON HWY, PRAIRIEVILLE, LA 70769(225) 677-9595(225) 644-5213 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James Dantoni M.d. NPPES

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

JAMES DANTONI M.D. (NPI 1922007491) is an individual family medicine provider in Prairieville, Louisiana, licensed in Louisiana (23058) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of The Lake Regional Medical Center, and is a graduate of Louisiana State University School Of Medicine In Shreveport (1991).

NPPES Registry Identity

NPI1922007491
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES DANTONICredential: M.D.
Location Address17609 OLD JEFFERSON HWYPrairieville, LA 70769-3979
Mailing Address17609 Old Jefferson HwyPrairieville, LA 70769-3979 · (225) 677-9595 · Fax (225) 644-5213
Phone(225) 677-9595
Fax(225) 644-5213
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 1991
Enumeration DateJuly 18, 2005
Last NPPES UpdateMarch 25, 2021
NPPES CertifiedMarch 25, 2021
✔ NPI 1922007491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in LA · 23058
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
17609 OLD JEFFERSON HWY, Prairieville, LA 70769
Open in Google Maps ↗

Other Identifiers 1

Medicaid1490032LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana, 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

James Dantoni M.d. 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 ID2860472065
PECOS Enrollment IDI20040720000965
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.

Areas of Expertise CMS Part B claims 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
150 services94 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
114 services82 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
79 services79 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
42 services41 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
38 services38 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
20 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Our Lady Of The Lake Regional Medical Center

Acute Care Hospitals · Baton Rouge, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number190064
Location5000 Hennessy BlvdBaton Rouge, LA 70808 · E. Baton Rouge County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70769 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 8

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

MR. CLEVELAND PAUL MELANCON PT, OCS
Physical Therapist (Orthopedic)
17609 OLD JEFFERSON HWY, SUITE G
PRAIRIEVILLE, LA 70769
Ascension Parish (225) 673-0200
BUNNIE HILL M.D.
Internal Medicine
17609 OLD JEFFERSON HWY
PRAIRIEVILLE, LA 70769
Ascension Parish (225) 677-7060
ST. ELIZABETH IMAGING LLC
Clinic/Center (Radiology)
17609 OLD JEFFERSON HWY, SUITE B
PRAIRIEVILLE, LA 70769
Ascension Parish (225) 647-5071
JEAN JACQUES SAUNDERS M.D.
Family Medicine
17609 OLD JEFFERSON HWY
PRAIRIEVILLE, LA 70769
Ascension Parish (225) 677-9595
ST. ELIZABETH IMAGING CENTER, LLC
Clinic/Center (Radiology)
17609 OLD JEFFERSON HWY, SUITE A
PRAIRIEVILLE, LA 70769
Ascension Parish (225) 924-2424
CHAD A. BEEMAN CFNP
Nurse Practitioner (Family)
17609 OLD JEFFERSON HWY
PRAIRIEVILLE, LA 70769
Ascension Parish (225) 647-8511
STEVEN NATHAN ABRAMSON M.D.
Family Medicine
17609 OLD JEFFERSON HWY
PRAIRIEVILLE, LA 70769
Ascension Parish (225) 677-9595
DR. LISA KHANH LE M.D.
Pediatrics
17609 OLD JEFFERSON HWY
PRAIRIEVILLE, LA 70769
Ascension Parish (225) 647-8511

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 James Dantoni's NPI number?

The NPI number for James Dantoni is 1922007491. It was assigned to this individual provider in the NPPES registry on July 18, 2005.

Where is James Dantoni located?

James Dantoni practices at 17609 Old Jefferson Hwy, Prairieville, LA 70769. The listed phone number is (225) 677-9595.

What is James Dantoni's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Dantoni enrolled in Medicare?

Yes. James Dantoni 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 James Dantoni accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list James Dantoni 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 James Dantoni affiliated with any hospitals?

According to CMS data, James Dantoni is affiliated with Our Lady Of The Lake Regional Medical Center.

When was this NPI record last updated?

The NPPES record for James Dantoni was last updated on March 25, 2021. 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.