NPIMap

Individual provider Active NPI

Nicholas Dupre Lahaye, M.D.

  • Family Medicine Physician
  • Ville Platte, LA
National Provider Identifier
1013988799
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23136 Issued in LA
Practice address
4940 Vidrine Rd
Ville Platte, LA 70586-8706
Phone
(337) 506-3500
Fax
(337) 506-3560
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23136 LA Primary

Addresses

Primary practice location

4940 Vidrine Rd
Ville Platte, LA 70586-8706

Mailing address

4940 Vidrine Rd
Ville Platte, LA 70586-8706
Phone (337) 506-3500

Other identifiers 1

IdentifierTypeStateIssuer
1491675MedicaidLA

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
I20050518000806 LA Practitioner - Family Practice 0345281564 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vidrine Community Clinic, LLCGroup PAC ID 5092768721, 2 clinicians

Practice addresses (Care Compare)

4940 Vidrine Rd
Ville Platte, LA 70586-8780
Phone (337) 222-2515

Hospital & facility affiliations

  • Stat Home Health of Southwest Louisiana, LLC Home health agency, Kinder, LA, CCN 197792
  • Allegiance Home Health of East Central Louisiana Home health agency, Ville Platte, LA, CCN 197199
  • Acadian Homecare, LLC Home health agency, Lafayette, LA, CCN 197060
  • Savoy Medical Center Hospital, Mamou, LA, CCN 190025
  • Mercy Regional Medical Center Hospital, Ville Platte, LA, CCN 190167
  • Opelousas General Health System Hospital, Opelousas, LA, CCN 190017
  • Acadian Medical Center Hospital, Eunice, LA, CCN 190318
  • Savoy Medical Center Inpatient rehabilitation facility, Mamou, LA, CCN 19T025
  • Prairie Manor Nursing Home Nursing home, Pine Prairie, LA, CCN 195577
  • Savoy Care Center Nursing home, Mamou, LA, CCN 195619
  • Heritage Manor of Ville Platte Nursing home, Ville Platte, LA, CCN 195507

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23136LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vidrine Rural Health Clinic LLC Family Medicine CurrentSince Dec 9, 2020 Accepting new patients
Vidrine Community Clinic, LLC Family Medicine CurrentSince Oct 30, 2000 Accepting new patients
Prairie Manor, Inc. Past Accepting new patients
FLS LLC Past Accepting new patients
Savoy Medical Management Group, Inc. Past Accepting new patients

Locations

801 Poinciana Ave
Mamou, LA 70554
Phone (337) 457-5740

4940 Vidrine Rd
Ste F
Ville Platte, LA 70586
Phone (337) 506-3500

4940 Vidrine Rd
Ville Platte, LA 70586
Phone (337) 222-2515

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GICBCD
  • Direct secure messaging: mrmnlahay@yourcarecommunity.org
  • Direct secure messaging: nicholas.lahaye@vccllc.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Vidrine Rural Health ClinicVille Platte, LA, CCN 198902 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
Operational/Managerial Control (100%)		 Dec 9, 2020
Dec 9, 2020
Dec 9, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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

Hospital & facility affiliations 11

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1013988799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 VIDRINE RD",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705868706",
            "telephone_number": "337-506-3500",
            "fax_number": "337-506-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 VIDRINE RD",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705868706",
            "telephone_number": "337-506-3500",
            "fax_number": "337-506-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAHAYE",
        "first_name": "NICHOLAS",
        "middle_name": "DUPRE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "23136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1491675",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ville Platte, LA

Sources for this page

Verify at the official NPI Registry.