Individual provider Active NPI

Melvin Joseph Marque III, MD

  • Emergency Medicine Physician
  • Lake Charles, LA
National Provider Identifier
1063404747
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
024321 Issued in LA
Practice address
1905 Country Club Rd
Lake Charles, LA 70605-5203
Phone
(337) 990-8000
NPI assigned
Aug 18, 2005
Last updated
Nov 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 024321 LA Primary

Addresses

Primary practice location

1905 Country Club Rd
Lake Charles, LA 70605-5203

Mailing address

1905 Country Club Rd
Lake Charles, LA 70605-5203
Phone (337) 990-8000

Other identifiers 2

IdentifierTypeStateIssuer
P00980762OtherLAMCARE RR
1109975MedicaidLA

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
I20040426001284 LA Practitioner - Emergency Medicine 3375530124 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Charles Urgent CareGroup PAC ID 1052580644, 14 clinicians
Lcuc Family Physicians Urgent Care LLCGroup PAC ID 8325327935, 13 clinicians

Practice addresses (Care Compare)

1905 Country Club Rd
Lake Charles, LA 70605-5203
Phone (337) 990-8000

2400 Ryan St
Lake Charles, LA 70601-7322
Phone (337) 433-1260

301 S Cities Service Hwy
Sulphur, LA 70663-6405
Phone (337) 888-3171

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024321LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Charles Primary Care and Wellness CurrentSince Mar 14, 2023 Accepting new patients
Lake Charles Urgent Care CurrentSince Jul 20, 2011 Accepting new patients
Lourdes After Hours LLC CurrentSince May 6, 2011 Accepting new patients
Lourdes After Hours LLC CurrentSince May 6, 2011 Accepting new patients
Lcuc Family Physicians Urgent Care LLC CurrentSince Nov 14, 2016 Accepting new patients
Emergency Medicine Specialist, Apmc Emergency Medicine Past Accepting new patients
Third Coast Emergency Physicians Sid Peterson PA Emergency Medicine Past Accepting new patients

Locations

3824 NE Evangeline Thruway
Carencro, LA 70520
Phone (337) 565-2675

1905 Country Club Rd
Lake Charles, LA 70605
Phone (337) 990-8000

1905 Country Club Rd
Ste B
Lake Charles, LA 70605
Phone (337) 990-8002

301 S Cities Service Hwy
Sulphur, LA 70663
Phone (337) 527-6416

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1063404747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 COUNTRY CLUB RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055203",
            "telephone_number": "337-990-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 COUNTRY CLUB RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055203",
            "telephone_number": "337-990-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUE",
        "first_name": "MELVIN",
        "middle_name": "JOSEPH",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "024321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE RR",
            "identifier": "P00980762",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1109975",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.