Ladaja Rayaun Allen
Individual provider Active NPI Physician Assistant · Houston, TX
NPI 1114650462 · NPPES record last updated Apr 6, 2026
Key facts
- NPI
- 1114650462
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA20195 (TX)
- Practice address
- 6621 Fannin St
Houston, TX 77030-2399 - Phone
- (832) 824-1000
- NPI assigned
- Jul 5, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1102 Bates Ave
Houston, TX 77030-2698
PO Box
Dallas, TX 75284
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in LA, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250127000995 | LA | Practitioner - Physician Assistant | 5294264842 | Reassigns benefits to 1 organization |
| I20260414004210 | TX | Practitioner - Physician Assistant | 5294264842 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA20195 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Group of Acadiana LLC | Current |
Accepting new patients | |
| Pediatric Group of Acadiana, LLC | Current |
Accepting new patients | |
| Louisiana Heart Clinic,Inc | Past |
Accepting new patients | |
| Pediatric Group of Acadiana, LLC | Past | Accepting new patients |
Locations
550 W Veterans Memorial Dr
Erath, LA 70533
Phone (337) 918-6341
818 E Veterans Meml Dr
Kaplan, LA 70548
Phone (337) 285-6001
401 Youngsville Hwy
Ste 100
Lafayette, LA 70508
Phone (337) 330-0031
431 E Evergreen St
Lafayette, LA 70501
Phone (337) 806-9910
520 N Lewis St
Ste 202
New Iberia, LA 70563
Phone (337) 367-2001
2308 E Main St
Ste G
New Iberia, LA 70560
Phone (337) 367-2001
302 Hacker St
New Iberia, LA 70560
120 N Carolina St
New Roads, LA 70760
Phone (225) 638-8449
1119 N Main St
St Martinvlle, LA 70582
Phone (337) 394-7774
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA20195 | TX | Yes |
Addresses
Primary practice location
6621 Fannin St
Houston, TX 77030-2399
Mailing address
6621 Fannin St
Houston, TX 77030-2399
Phone (832) 824-1000
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.