Active NPI
Ebenezer S. Bediako, MD
- Pediatrics Physician
- Lafayette, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 202914
- Practice address
- 4600 Ambassador Caffery Pkwy
Lafayette, LA 70508-6902 - Phone
- (337) 470-5500
- Fax
- (337) 521-9166
- NPI assigned
- Apr 23, 2007
- Last updated
- Dec 22, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 202914 | LA | Primary |
| Pediatrics Physician | 208000000X | 01063471A | IN | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 202914 | LA | |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | 202914 | LA | |
| Hospitalist Physician | 208M00000X | N1547 | TX |
Addresses
Primary practice location
4600 Ambassador Caffery Pkwy
Lafayette, LA 70508-6902
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (337) 470-2605
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
202 Summer Morning CT
Lafayette, LA 70508-7216
3601 4TH St
Lubbock, TX 79430-0001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01063471A | IN | MD | Pediatrics Physician |
| 202914 | LA | MD | Pediatric Emergency Medicine (Pediatrics) Physician |
| N1547 | TX | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Lourdes Physician Group LLC | Current | Accepting new patients | |
| Coolidge Emergency Group LLC | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Pediatrics | Current | Accepting new patients |
| Texas Tech University Health Sciences Center Lubbock | Past | Accepting new patients | |
| Methodist Children's Hospital | Past | Accepting new patients | |
| Our Lady of Lourdes Regional Medical Center, Inc | Past | Accepting new patients |
Locations
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011
1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191
4600 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 371-3135
4801 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-2000
3502 9th St
Ste 130
Lubbock, TX 79415
Phone (806) 743-1188
4015 22nd Pl
Lubbock, TX 79410
Phone (806) 725-0000
602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898
Interoperability endpoints
- ebediako1472641@direct.ochsner.org
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.
-
- Emergency Medicine Physician
- Lafayette, LA
- NPI 1801140934
-
- Family Medicine Physician
- Lafayette, LA
- NPI 1437405883
-
dba TTUHSC/Anatomical Pathology
- Anatomic Pathology Physician
- Lubbock, TX
- NPI 1063461358
-
dba Ttuhsc - DME
- Durable Medical Equipment & Medical Supplies
- Lubbock, TX
- NPI 1053458026
-
- Pediatrics Physician
- Lubbock, TX
- NPI 1972552263
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1598766495
-
dba Covenant Children's Hospital
- Children's Hospital
- Lubbock, TX
- NPI 1437171568
-
dba TTUHSC - Anesthesiology
- Anesthesiology Physician
- Lubbock, TX
- NPI 1306894175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766361600000",
"number": "1073731493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 S SHERWOOD FOREST BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708166038",
"telephone_number": "337-470-2605",
"fax_number": "225-765-9196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 AMBASSADOR CAFFERY PKWY",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705086902",
"telephone_number": "337-470-5500",
"fax_number": "337-521-9166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDIAKO",
"first_name": "EBENEZER",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-23",
"last_updated": "2025-12-22",
"certification_date": "2025-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "202914",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01063471A",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "LA",
"license": "202914",
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "LA",
"license": "202914",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TX",
"license": "N1547",
"primary": false
}
],
"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 Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.