Individual provider Active NPI

Caxton Aderemi Opere, MD

  • Internal Medicine Physician
  • Mandeville, LA
National Provider Identifier
1073614723
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13764R Issued in LA
Practice address
639 Lotus Drive N
Suite B
Mandeville, LA 70470
Phone
(985) 626-6133
Fax
(985) 626-6136
NPI assigned
Sep 26, 2006
Last updated
Dec 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35.129510 OH
Internal Medicine Physician 207R00000X C166102 CA
Hospitalist Physician 208M00000X 80189 CT
Internal Medicine Physician 207R00000X 80189 CT
Internal Medicine Physician 207R00000X 334805 NY
Internal Medicine Physician 207R00000X 13764R LA Primary

Addresses

Primary practice location

639 Lotus Drive N
Suite B
Mandeville, LA 70470

Mailing address

7715 Tom Dr
Baton Rouge, LA 70806-2321
Phone (225) 892-5270

Other practice location 1

111 Hospital Dr
Utica, NY 13502-2517
Phone (315) 917-9966

Other practice location 2

1275 N High St
Hillsboro, OH 45133-8273
Phone (937) 393-6100

Other identifiers 1

IdentifierTypeStateIssuer
1434892MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX, OH, CA, CT, NY6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20041111001015 LA Practitioner - Emergency MedicinePractitioner - Internal Medicine 9931163722 Reassigns benefits to 11 organizations
I20150506002143 TX Practitioner - Internal MedicinePractitioner - Hospitalist 9931163722 Reassigns benefits to 5 organizations
I20161201000846 OH Practitioner - Internal Medicine 9931163722 Reassigns benefits to 1 organization
I20240216001318 CA Practitioner - Internal Medicine 9931163722 Reassigns benefits to 1 organization
I20250403002296 CT Practitioner - HospitalistPractitioner - Internal Medicine 9931163722 Reassigns benefits to 1 organization
I20251104001878 NY Practitioner - Internal Medicine 9931163722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of TX, PLLCGroup PAC ID 3375909351, 374 clinicians
Galen Inpatient Physicians PCGroup PAC ID 3678464633, shared by 11 NPIs, 1,045 clinicians

Practice addresses (Care Compare)

111 Hospital Dr
Utica, NY 13502-2517
Phone (315) 917-9966

13725 Northwest Blvd
Corpus Christi Medical Center
Corpus Christi, TX 78410-5127
Phone (361) 767-4300

56 Franklin St
Waterbury, CT 06706-1253
Phone (203) 709-6000

975 S Fairmont Ave
Lodi, CA 95240-5118
Phone (209) 334-3411

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.129510OHMDEmergency Medicine Physician
C166102CAMDInternal Medicine Physician
80189CTMDInternal Medicine Physician
13764RLAMDInternal Medicine Physician
334805NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Jun 15, 2018 Accepting new patients
Teche Emergency Group LLC Emergency Medicine CurrentSince Aug 30, 2019 Accepting new patients
New York Medical Physician Associates PC Hospitalist CurrentSince Nov 1, 2025 Accepting new patients
Emergency Staffing Solutions Inc Emergency Medicine CurrentSince Jan 3, 2018 Accepting new patients
Hni Medical Services Internal Medicine CurrentSince Feb 1, 2016 Accepting new patients
Mother Frances Hospital Regional Health Care Center CurrentSince May 8, 2017 Accepting new patients
East Carroll Parish Hospital CurrentSince Mar 1, 2018 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Jun 15, 2018 Accepting new patients
Ess Hospitalist LLC Hospitalist CurrentSince Jan 3, 2018 Accepting new patients
East Carroll Parish Hospital CurrentSince Mar 1, 2018 Accepting new patients
Ipc Healthcare Services of Texas, PLLC Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
Jena Ess Hospitalist LLC Internal Medicine CurrentSince Jan 4, 2018 Accepting new patients
Galen Inpatient Physicians PC Internal Medicine Current Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Oct 24, 2024 Accepting new patients
Keystone Medical Services of Ferriday, Inc. Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Feb 12, 2024 Accepting new patients
Mayfair Physician Services, LLC Internal Medicine CurrentSince Jul 1, 2018 Accepting new patients
Jena Ess LLC Emergency Medicine CurrentSince Jan 4, 2018 Accepting new patients
Galen Inpatient Physicians PC Internal Medicine CurrentSince Apr 7, 2025 Accepting new patients
Midwest Hospitalist Physicians LLP Hospitalist CurrentSince Nov 1, 2016 Accepting new patients
South Central Physicians PLLC Hospitalist CurrentSince Jul 31, 2019 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Feb 12, 2024 Accepting new patients
New York Medical Physician Associates PC Internal Medicine CurrentSince Nov 1, 2025 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Correct Care, Inc. Emergency Medicine CurrentSince Dec 22, 2015 Accepting new patients
Sports Medicine Grant, Inc Past Accepting new patients
Bayou State Group, Inc Past Accepting new patients
Hospital Service District No. 2 Past Accepting new patients
Hospitalist Medicine Physicians of Rapides Parish, LLC Internal Medicine Past Accepting new patients
C & M Medical Services, Inc. PastSince Oct 1, 2016 Accepting new patients
Optimal Health Outpatient Clinic Internal Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations (25 of 40)

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

1010 Murray Ave
Sn Luis Obisp, CA 93405
Phone (805) 546-7600

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470

427 Evergreen St
Bunkie, LA 71322
Phone (318) 346-6681

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

301 Memorial Dr
Donaldsonvlle, LA 70346
Phone (225) 473-7931

1700 EE Wallace Blvd N
Ferriday, LA 71334
Phone (318) 281-2448

1097 Northwest Blvd
Franklin, LA 70538
Phone (337) 355-1269

187 Ninth St
Jena, LA 71342
Phone (318) 992-9200

165 Beech Springs Rd
Jonesboro, LA 71251
Phone (318) 259-4435

1020 W Fertitta Blvd
Leesville, LA 71446
Phone (337) 239-5278

336 N Hood St
Lk Providence, LA 71254
Phone (318) 559-4023

207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109

6569 Highway 84
Ridgecrest, LA 71334
Phone 3187576551605

2106 Loop Rd
Winnsboro, LA 71295
Phone (318) 282-8482

111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: copere57341@mvhealthsystem.direct-ci.com

Organizations & group practices 32

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.

View all 32

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1073614723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7715 TOM DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708062321",
            "telephone_number": "225-892-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 LOTUS DRIVE N",
            "address_2": "SUITE B",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "70470",
            "telephone_number": "985-626-6133",
            "fax_number": "985-626-6136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "135022517",
            "country_code": "US",
            "telephone_number": "315-917-9966",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1275 N High St",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OH",
            "postal_code": "451338273",
            "country_code": "US",
            "telephone_number": "937-393-6100",
            "fax_number": "614-293-2809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OPERE",
        "first_name": "CAXTON",
        "middle_name": "ADEREMI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.129510",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C166102",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CT",
            "license": "80189",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "80189",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "334805",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "13764R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1434892",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

Verify at the official NPI Registry.