NPIMap

Individual provider Active NPI

Maximo Bienvenido Lamarche, M.D.

  • Nephrology Physician
  • Lafayette, LA
National Provider Identifier
1003852567
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
03956R Issued in LA
Practice address
300 W Saint Mary Blvd
Lafayette, LA 70506-4638
Phone
(337) 233-6593
Fax
(337) 235-1032
NPI assigned
Jun 22, 2006
Last updated
Nov 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 03956R LA Primary

Addresses

Primary practice location

300 W Saint Mary Blvd
Lafayette, LA 70506-4638

Mailing address

300 W Saint Mary Blvd
Lafayette, LA 70506-4638
Phone (337) 233-6593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060313000073 LA Practitioner - NephrologyPractitioner - Internal Medicine 3678481215 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acadiana Renal Physicians AMCGroup PAC ID 5890783070, 16 clinicians
Ladebe LLCGroup PAC ID 9335302017, 2 clinicians

Practice addresses (Care Compare)

300 W Saint Mary Blvd
Lafayette, LA 70506-4638
Phone (337) 233-6593

307 Polly LN
Lafayette, LA 70508-4960
Phone (337) 314-1148

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
03956RLAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acadiana Concern for AIDS Relief Education and Support, Inc. CurrentSince Dec 10, 2021 Accepting new patients
Abbeville General Hospital CurrentSince Mar 31, 2013 Accepting new patients
Lsuhn Billing LLC CurrentSince Apr 28, 2008 Accepting new patients
Abbeville General Hospital CurrentSince Mar 31, 2013 Accepting new patients
Ladebe LLC Internal Medicine CurrentSince Dec 1, 2001 Accepting new patients
Acadiana Renal Physicians AMC Nephrology CurrentSince Mar 1, 1993 Accepting new patients
Lsuhn Billing LLC CurrentSince Apr 28, 2008 Accepting new patients
Clinton Young, M.D., Apmc Internal Medicine Past Accepting new patients
Southpark Community Hospital Internal Medicine PastSince Aug 15, 2002 Accepting new patients
Acadiana Concern for AIDS Relief Education and Support, Inc. Past Accepting new patients
Southern Louisiana Rehab LLC PastSince Feb 15, 2006 Accepting new patients

Locations

118 N Hospital Dr
Abbeville, LA 70510
Phone (337) 893-5466

1105 Kaliste Saloom Rd
Lafayette, LA 70508
Phone (225) 296-0041

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

2804 Ambassador Caffery Pkwy
Lafayette, LA 70506
Phone (337) 981-5156

300 W Saint Mary Blvd
Lafayette, LA 70506
Phone (337) 233-1542

307 Polly Ln
Lafayette, LA 70508
Phone (337) 314-1111

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-2000

809 Mlk Dr
Lafayette, LA 70501
Phone (337) 233-2437

224 N Lewis St
New Iberia, LA 70563
Phone (318) 364-1103

Interoperability endpoints

  • Direct secure messaging: maximo@acadianacares.ssdirect.aprima.com
  • Direct secure messaging: mlamarche21195@direct.acumenmd.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1003852567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W SAINT MARY BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064638",
            "telephone_number": "337-233-6593",
            "fax_number": "337-235-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W SAINT MARY BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064638",
            "telephone_number": "337-233-6593",
            "fax_number": "337-235-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMARCHE",
        "first_name": "MAXIMO",
        "middle_name": "BIENVENIDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "03956R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.