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

Mr. James Kevin Modisette, MD

Individual provider Nephrology Physician · NPI 1063413995

Mr. James Kevin Modisette, MD is a Nephrology in Thibodaux, Louisiana. Graduated from Louisiana State University School of Medicine in New Orleans in 1996, 30 years ago. Practices with Kidney Center of South Louisiana, Amc, a 3-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
30
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
LA
In the registry since
2005
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

604 N Acadia Rd Ste 405
Thibodaux, LA 70301
Phone: (985) 446-0871
Fax: (985) 446-0874
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 22699 (LA)

Record details

NPI number1063413995
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 2, 2005
Last updated in NPPESSeptember 25, 2009

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 1996 (30 years in practice)
Group practice Kidney Center Of South Louisiana, Amc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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