Individual provider Active NPI

Marcellus Ellis Lahaye, M.D.

  • Urology Physician
  • Ville Platte, LA
National Provider Identifier
1073584744
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
20487 Issued in LA
Practice address
4940 Vidrine Rd
Ville Platte, LA 70586-8706
Phone
(337) 506-3540
Fax
(337) 506-3560
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 20487 LA Primary

Addresses

Primary practice location

4940 Vidrine Rd
Ville Platte, LA 70586-8706

Mailing address

4940 Vidrine Rd
Ville Platte, LA 70586-8706
Phone (337) 506-3540

Other identifiers 1

IdentifierTypeStateIssuer
1924946MedicaidLA

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
I20081002000033 LA Practitioner - Urology 5092710871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Louisiana State University School of Medicine in Shreveport, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Urology LLCGroup PAC ID 5597833772, 27 clinicians

Practice addresses (Care Compare)

4940 Vidrine Rd
Ville Platte, LA 70586-8780
Phone (337) 506-3540

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.2 of 100Reported as group
Promoting interoperability
92
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20487LAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frank P Savoy Jr Cancer Center PastSince Jun 29, 1998 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mrmmlahay@yourcarecommunity.org
  • Direct secure messaging: marcelluslahaye@southernuro.medalliesdirect.net

Organizations & group practices 3

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 5

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311033600000",
    "number": "1073584744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 VIDRINE RD",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705868706",
            "telephone_number": "337-506-3540",
            "fax_number": "337-506-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 VIDRINE RD",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705868706",
            "telephone_number": "337-506-3540",
            "fax_number": "337-506-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAHAYE",
        "first_name": "MARCELLUS",
        "middle_name": "ELLIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2011-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "LA",
            "license": "20487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1924946",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ville Platte, LA

Sources for this page

Verify at the official NPI Registry.