NPIMap

Organization Active NPI

Acadiana Id Associates, LLC

  • Infectious Disease Physician
  • Lafayette, LA
National Provider Identifier
1063822997
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
15601R Issued in LA
Legal business name
ACADIANA ID ASSOCIATES, LLC
Practice address
1700 Kaliste Saloom Rd BLDG 6
Suite 600
Lafayette, LA 70508-6112
Phone
(337) 534-4131
Fax
(337) 385-5859
NPI assigned
Apr 30, 2014
Last updated
Feb 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Authorized official

Name
Dr. Vitalis Okechukwu, M.D.,
Title
Owner
Phone
(337) 534-4131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 15601R LA Primary

Addresses

Primary practice location

1700 Kaliste Saloom Rd BLDG 6
Suite 600
Lafayette, LA 70508-6112

Mailing address

PO Box 81247
Lafayette, LA 70598-1247
Phone (337) 534-4131

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DDEICA

NPI Registry JSON

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1063822997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81247",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705981247",
            "telephone_number": "337-534-4131",
            "fax_number": "337-385-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 KALISTE SALOOM RD BLDG 6",
            "address_2": "SUITE 600",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086112",
            "telephone_number": "337-534-4131",
            "fax_number": "337-385-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIANA ID ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-30",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "OKECHUKWU",
        "authorized_official_first_name": "VITALIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-534-4131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "LA",
            "license": "15601R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.