Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. John Philip Boudreaux, MD

Individual provider Surgery Physician · NPI 1407879455

Dr. John Philip Boudreaux, MD is a General Surgery in Kenner, Louisiana. Graduated from Louisiana State University School of Medicine in New Orleans in 1978, 48 years ago. Practices with Louisiana State University School of Medicine in New Orleans Faculty G, a 447-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Louisiana.

Years since qualifying
48
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
LA
In the registry since
2006
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

200 W Esplanade Ave Ste 200
Kenner, LA 70065-2489
Phone: (504) 464-8500
Fax: (504) 464-8525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 014711 (LA)

Record details

NPI number1407879455
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 25, 2006
Last updated in NPPESJanuary 15, 2010

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 NEW ORLEANS
Graduated 1978 (48 years in practice)
Group practice Louisiana State University School Of Medicine In New Orleans Faculty G — 447 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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