Individual provider Active NPI

Robert Chance Dewitt, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Alexandria, LA
National Provider Identifier
1023009263
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
14951R Issued in LA
Practice address
3311 Prescott Rd Ste 312
Alexandria, LA 71301-3984
Phone
(318) 528-1998
Fax
(318) 767-9931
NPI assigned
Nov 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 14951R LA Primary

Addresses

Primary practice location

3311 Prescott Rd Ste 312
Alexandria, LA 71301-3984

Mailing address

3311 Prescott Rd
Suite 202
Alexandria, LA 71301-3900
Phone (318) 442-0106

Other practice location 1

4630 Ambassador Caffery Pkwy Ste 302
Lafayette, LA 70508-6950
Phone (337) 470-3580

Other identifiers 2

IdentifierTypeStateIssuer
1158739MedicaidLA
1E7268OtherLAMEDICARE ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060126000124 LA Practitioner - Cardiac SurgeryPractitioner - Thoracic SurgeryPractitioner - Vascular Surgery 9234143579 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: Thoracic Surgery, Vascular Surgery
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lourdes Physician Group LLCGroup PAC ID 7214177757, 157 clinicians

Practice addresses (Care Compare)

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917
Phone (337) 470-2990

Hospital & facility affiliations

  • Nursing Specialties Home health agency, Lafayette, LA, CCN 197297
  • Acadian Homecare / Abbeville Home health agency, Abbeville, LA, CCN 197769
  • Unity Home Health Home health agency, Breaux Bridge, LA, CCN 197795
  • Our Lady of Lourdes Regional Medical Center, Inc Hospital, Lafayette, LA, CCN 190102
  • Christus St Frances Cabrini Hospital Hospital, Alexandria, LA, CCN 190019
  • Iberia Medical Center Hospital, New Iberia, LA, CCN 190054
  • Opelousas General Health System Hospital, Opelousas, LA, CCN 190017
  • Byrd Regional Hospital Hospital, Leesville, LA, CCN 190164

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)109
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14951RLAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Cardiovascular & Thoracic Institute, LLC CurrentSince Jul 1, 2003 Accepting new patients
Lourdes Physician Group LLC CurrentSince Jun 15, 2021 Accepting new patients
Our Lady of Lourdes Regional Medical Center, Inc Past Accepting new patients

Locations

3311 Prescott Rd
Ste 202
Alexandria, LA 71301
Phone (318) 442-0106

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

1103 Kaliste Saloom Rd
Ste 200
Lafayette, LA 70508
Phone (337) 470-3580

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

4630 Ambassador Caffery Pkwy
Ste 302
Lafayette, LA 70508
Phone (337) 470-3580

303 Marion Ave
McComb, MS 39648
Phone (601) 249-1350

Organizations & group practices 3

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 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1023009263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 PRESCOTT RD",
            "address_2": "SUITE 202",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013900",
            "telephone_number": "318-442-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 PRESCOTT RD STE 312",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013984",
            "telephone_number": "318-528-1998",
            "fax_number": "318-767-9931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4630 Ambassador Caffery Pkwy Ste 302",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705086950",
            "country_code": "US",
            "telephone_number": "337-470-3580",
            "fax_number": "337-470-3586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "ROBERT",
        "middle_name": "CHANCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "LA",
            "license": "14951R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1158739",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "1E7268",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.