St Jude Medical Group LLC
NPI 1396086211 · Family Medicine Physician · Lake Charles, LA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
St Jude Medical Group LLC is a Family Medicine Physician organization in Lake Charles, LA (NPI 1396086211).
Provider details
- NPI number
- 1396086211
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jude Agendia, Owner(337) 564-6722
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-03-04
- Last updated
- 2013-03-04
Frequently asked questions
- What is St Jude Medical Group LLC's NPI number?
- St Jude Medical Group LLC's National Provider Identifier (NPI) is 1396086211, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St Jude Medical Group LLC?
- St Jude Medical Group LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is St Jude Medical Group LLC located?
- St Jude Medical Group LLC's practice location on file with NPPES is 4150 Nelson Rd, Lake Charles, LA 70605-4148.
- What is St Jude Medical Group LLC's phone number?
- The practice phone number listed in the NPPES registry for St Jude Medical Group LLC is (337) 564-6722.
- Does St Jude Medical Group LLC accept Medicare?
- St Jude Medical Group LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for St Jude Medical Group LLC?
- The authorized official listed on St Jude Medical Group LLC's NPPES record is Jude Agendia, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St Jude Medical Group LLC's NPI active?
- Yes — St Jude Medical Group LLC's NPI (1396086211) is active in the NPPES registry as of the last update on 2013-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.