Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jacob Edward Landry, MD

Individual provider Surgery Physician · NPI 1235495813

Dr. Jacob Edward Landry, MD is a General Surgery in Lafayette, Louisiana. Graduated from Louisiana State University School of Medicine in Shreveport in 2012, 14 years ago. Practices with Lourdes Physician Group LLC, a 156-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
14
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
LA
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4809 Ambassador Caffery Pkwy Ste 410
Lafayette, LA 70508-8802
Phone: (337) 470-4881
Fax: (337) 470-4882
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 457 Heymann Blvd, Lafayette, LA 70503-2616 — (337) 237-5774

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 304802 (LA)

Record details

NPI number1235495813
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 8, 2012
Last updated in NPPESSeptember 3, 2021
Certification dateSeptember 3, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 2012 (14 years in practice)
Group practice Lourdes Physician Group Llc — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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