Individual provider Active NPI

Cullen Michael Ocmond, MD

  • Family Medicine Physician
  • Lutcher, LA
National Provider Identifier
1053588467
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
203080 Issued in LA
Practice address
1645 Lutcher Ave
Lutcher, LA 70071-5150
Phone
(225) 869-9890
Fax
(225) 869-3822
NPI assigned
May 14, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 203080 LA Primary

Addresses

Primary practice location

1645 Lutcher Ave
Lutcher, LA 70071-5150

Mailing address

1645 Lutcher Ave
Lutcher, LA 70071-0000
Phone (225) 869-9890

Other identifiers 2

IdentifierTypeStateIssuer
1508186172OtherLADR'S EMPLOYER GROUP NPI NUMBER
1072940MedicaidLA

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
I20100121000760 LA Practitioner - Family Practice 2961544481 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. James Parish Hosp Serv DistGroup PAC ID 3476459850, shared by 5 NPIs, 10 clinicians

Practice addresses (Care Compare)

1645 Lutcher Ave
Lutcher, LA 70071-5150
Phone (225) 869-5512

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.29 of 100Reported as group
Quality
64.64
Promoting interoperability
99
Improvement activities
40
Cost
73.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
203080LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. James Parish Hosp. Serv. Dist. Current Accepting new patients
Lutcher Family Clinic Family Medicine CurrentSince Jun 26, 2010 Accepting new patients
St James Parish Hosp Serv Dist CurrentSince Jun 1, 2010 Accepting new patients
St. James Parish Hosp. Serv. Dist. CurrentSince Jun 1, 2010 Accepting new patients
St. James Parish Hosp Serv Dist Family Medicine Past Accepting new patients

Locations

1645 Lutcher Ave
Lutcher, LA 70071
Phone (225) 258-5901

1731 Lutcher Ave
Lutcher, LA 70071
Phone (225) 258-2040

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2670/brand/3/csg/61/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1053588467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 LUTCHER AVE",
            "city": "LUTCHER",
            "state": "LA",
            "postal_code": "700710000",
            "telephone_number": "225-869-9890",
            "fax_number": "225-869-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 LUTCHER AVE",
            "city": "LUTCHER",
            "state": "LA",
            "postal_code": "700715150",
            "telephone_number": "225-869-9890",
            "fax_number": "225-869-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCMOND",
        "first_name": "CULLEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "203080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR'S EMPLOYER GROUP NPI NUMBER",
            "identifier": "1508186172",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1072940",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutcher, LA

Sources for this page

Verify at the official NPI Registry.