Individual provider Active NPI

Robert L Rumsey, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Lake Charles, LA
National Provider Identifier
1083694400
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD.11891R Issued in LA
Practice address
830 W Bayou Pines Dr
Lake Charles, LA 70601-7097
Phone
(337) 436-9557
Fax
(337) 312-1311
NPI assigned
Jan 20, 2006
Last updated
Aug 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD.11891R LA Primary

Addresses

Primary practice location

830 W Bayou Pines Dr
Lake Charles, LA 70601-7097

Mailing address

830 W Bayou Pines Dr
Lake Charles, LA 70601-7097
Phone (337) 436-9557

Other identifiers 1

IdentifierTypeStateIssuer
1685101MedicaidLA

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
I20101209001108 LA Practitioner - Pathology 9537258454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Medical University of South Carolina College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Pathology Laboratory, Inc.Group PAC ID 0941240782, 6 clinicians

Practice addresses (Care Compare)

830 Bayou Pines W
Lake Charles, LA 70601-7077
Phone (337) 436-9557

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.11891RLAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Pathology Laboratory, Inc. Clinical Pathology CurrentSince Jul 24, 1996 Accepting new patients
TPL FL LLC CurrentSince Jul 24, 1996 Accepting new patients

Locations

830 W Bayou Pines Dr
Lake Charles, LA 70601
Phone (337) 436-9557

830 W Bayou Pines Dr
#L
Lake Charles, LA 70601

Organizations & group practices 2

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": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1083694400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 W BAYOU PINES DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017097",
            "telephone_number": "337-436-9557",
            "fax_number": "337-312-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 W BAYOU PINES DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017097",
            "telephone_number": "337-436-9557",
            "fax_number": "337-312-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUMSEY",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "LA",
            "license": "MD.11891R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1685101",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.