Individual provider Active NPI

Todd A Devalcourt, P.A.

  • Physician Assistant
  • Lafayette, LA
National Provider Identifier
1033150784
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
P.A.A10538 Issued in LA
Practice address
4212 W Congress St Ste 3100
Lafayette, LA 70506-6771
Phone
(337) 703-3201
Fax
(337) 703-3202
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X P.A.A10538 LA Primary

Addresses

Primary practice location

4212 W Congress St Ste 3100
Lafayette, LA 70506-6771

Mailing address

PO Box 919229
Dallas, TX 75391-9229
Phone (337) 703-3201

Other identifiers 1

IdentifierTypeStateIssuer
P00249834OtherLARAILROAD

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090615000021 LA Practitioner - Physician Assistant 9335189430 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospital and Clinics, Inc.Group PAC ID 7113161977, 81 clinicians
Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians

Practice addresses (Care Compare)

1100 Bertrand Dr
Lafayette, LA 70506-4110
Phone (337) 261-8500

1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7374

2390 W Congress St
Lafayette, LA 70506-4205
Phone (337) 261-6000

2810 Ambassador Caffery Pkwy
Lafayette, LA 70506-5906
Phone (337) 981-2949

4212 W Congress St
Lafayette, LA 70506-6765

Hospital & facility affiliations

  • Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002
  • Ochsner University Hospital and Clinics Hospital, Lafayette, LA, CCN 190006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
P.A.A10538LAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospital & Clinics, Inc. CurrentSince Apr 16, 2024 Accepting new patients
University Hospital & Clinics Inc CurrentSince Apr 16, 2024 Accepting new patients
Lafayette Health Ventures Inc CurrentSince Feb 1, 2013 Accepting new patients
Lafayette Health Ventures Inc. CurrentSince Feb 1, 2013 Accepting new patients
Carolyn Y. Smith Past Accepting new patients
Norman E Anseman Jr MD, a Professional Medical Corporation Past Accepting new patients
Acadiana Rehab Associates Inc a Professional Medical Corporation Past Accepting new patients
Lafayette Health Ventures, Inc Past Accepting new patients

Locations

1122 S Bernard Rd
Ste B
Broussard, LA 70518
Phone (337) 289-8933

711 N Montgomery Ave
Kaplan, LA 70548
Phone (318) 643-1747

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

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

1448 S College Rd
Lafayette, LA 70503
Phone (318) 233-5300

1211 Coolidge Blvd
Ste 401
Lafayette, LA 70503
Phone (337) 247-9715

1100 Bertrand Dr
Lafayette, LA 70506
Phone (337) 261-8500

459 Heymann Blvd
Lafayette, LA 70503
Phone (337) 237-3637

601 W Saint Mary Blvd
Ste 4
Lafayette, LA 70506
Phone (337) 233-3731

Interoperability endpoints

  • Direct secure messaging: tdevalcourt1446341@direct.ochsner.org

Organizations & group practices 9

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 2

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1033150784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919229",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753919229",
            "telephone_number": "337-703-3201",
            "fax_number": "337-703-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 W CONGRESS ST STE 3100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066771",
            "telephone_number": "337-703-3201",
            "fax_number": "337-703-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVALCOURT",
        "first_name": "TODD",
        "middle_name": "A",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "P.A.A10538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00249834",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.