Individual provider Active NPI

Craig Jude Frederick, M.D.

  • Family Medicine Physician
  • New Iberia, LA
National Provider Identifier
1033176185
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23725 Issued in LA
Practice address
600 N Lewis St
New Iberia, LA 70563-2043
Phone
(800) 893-9698
NPI assigned
May 1, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 23725 LA Primary

Addresses

Primary practice location

600 N Lewis St
New Iberia, LA 70563-2043

Mailing address

509 Terrell CT
New Iberia, LA 70563-2253

Other identifiers 1

IdentifierTypeStateIssuer
1664286MedicaidLA

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
I20040927000322 LA Practitioner - Emergency Medicine 3476522582 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parish State Emergency Physicians LLCGroup PAC ID 5193252203, 25 clinicians

Practice addresses (Care Compare)

2315 E Main St
New Iberia, LA 70560-4031
Phone (337) 364-0441

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.29 of 100Reported as group
Quality
76.46
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23725LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parish State Emergency Physicians LLC CurrentSince Dec 1, 2024 Accepting new patients
Riverside Emergency Physician Partners LLC CurrentSince Nov 15, 2023 Accepting new patients
Opelousas Emergency Group LLC CurrentSince Dec 1, 2005 Accepting new patients
Main Street Emergency Group LLC CurrentSince Sep 23, 2023 Accepting new patients
Louisiana Emergency Physicians, LLC Past Accepting new patients
C & M Medical Services, Inc. Past Accepting new patients

Locations

2315 E Main St
New Iberia, LA 70560
Phone (337) 364-0441

600 N Lewis St
New Iberia, LA 70563
Phone (337) 365-7311

3983 I 49 S Service Rd
Opelousas, LA 70570
Phone (337) 407-4512

539 E Prudhomme St
Opelousas, LA 70570
Phone (337) 943-7128

1900 Main St
Sheridan, LA 70438
Phone (985) 795-4294

Organizations & group practices 6

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 3

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1033176185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 TERRELL CT",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N LEWIS ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632043",
            "telephone_number": "800-893-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "CRAIG",
        "middle_name": "JUDE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "23725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1664286",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

Verify at the official NPI Registry.