Individual provider Active NPI

Eric Paul Elias, M.D.

  • Obstetrics & Gynecology Physician
  • Breaux Bridge, LA
National Provider Identifier
1043447196
Registry record updated Nov 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
203619 Issued in LA
Practice address
1546 Gary Dr
Breaux Bridge, LA 70517-3447
Phone
(337) 442-1770
Fax
(337) 442-1594
NPI assigned
Jun 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 203619 LA Primary

Addresses

Primary practice location

1546 Gary Dr
Breaux Bridge, LA 70517-3447

Mailing address

1546 Gary Dr
Breaux Bridge, LA 70517-3447
Phone (337) 442-1770

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
I20101111001353 LA Practitioner - Obstetrics/Gynecology 0345434791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1546 Gary Dr
Breaux Bridge, LA 70517-3447
Phone (337) 442-1770

Hospital & facility affiliations

  • Ochsner St Martin Hospital Hospital, Breaux Bridge, LA, CCN 191302
  • Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002
  • Our Lady of Lourdes Regional Medical Center, Inc Hospital, Lafayette, LA, CCN 190102

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
203619LAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Contemporary Womens Care of Breaux Bridge Obstetrics & Gynecology CurrentSince Apr 1, 2010 Accepting new patients
Lafayette General Medical Center Inc Past Accepting new patients

Locations

1546 Gary Dr
Breaux Bridge, LA 70517
Phone (337) 442-1770

Interoperability endpoints

  • Direct secure messaging: eelias1443431@direct.ochsner.org

Organizations & group practices 2

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 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": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290556800000",
    "number": "1043447196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1546 GARY DR",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705173447",
            "telephone_number": "337-442-1770",
            "fax_number": "337-442-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1546 GARY DR",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705173447",
            "telephone_number": "337-442-1770",
            "fax_number": "337-442-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIAS",
        "first_name": "ERIC",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-16",
        "last_updated": "2010-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "203619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Breaux Bridge, LA

Sources for this page

Verify at the official NPI Registry.