NPIMap

Individual provider Active NPI

Carl M Ditch, M.D.

  • Internal Medicine Physician
  • New Iberia, LA
National Provider Identifier
1124101225
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
013926 Issued in LA
Practice address
2316 E. Main St.
New Iberia, LA 70560
Phone
(337) 364-1103
Fax
(337) 364-1194
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 013926 LA Primary

Addresses

Primary practice location

2316 E. Main St.
New Iberia, LA 70560

Mailing address

2316 E. Main St.
New Iberia, LA 70560
Phone (337) 364-1103

Other identifiers 1

IdentifierTypeStateIssuer
1199150MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040112000308 LA Practitioner - Internal Medicine 8325948607 Reassigns benefits to 1 organization
Practice locations: New Iberia, LA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iberia Medical Center Physician Practice NetworkGroup PAC ID 3476730847, 20 clinicians

Practice addresses (Care Compare)

2313 E Main St
Suite C
New Iberia, LA 70560-4091
Phone (337) 364-1734

Hospital & facility affiliations

  • Acadian Homecare of New Iberia, LLC Home health agency, New Iberia, LA, CCN 197718
  • Acadian Homecare, LLC Home health agency, Lafayette, LA, CCN 197060
  • Nursing Specialties Home health agency, Lafayette, LA, CCN 197297
  • Iberia Medical Center Hospital, New Iberia, LA, CCN 190054
  • Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002
  • Our Lady of Lourdes Regional Medical Center, Inc Hospital, Lafayette, LA, CCN 190102
  • Bayou Bend Health System Hospital, Franklin, LA, CCN 191310
  • Ochsner St Martin Hospital Hospital, Breaux Bridge, LA, CCN 191302

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
013926LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Service District No. 1 of Iberia Parish Current Accepting new patients
Iberia Medical Center Physician Practice Network CurrentSince Nov 1, 2018 Accepting new patients

Locations

2313 E Main St
Ste C
New Iberia, LA 70560
Phone (337) 364-1734

2315 E Main St
New Iberia, LA 70560
Phone (337) 364-0441

600 N Lewis St
New Iberia, LA 70563
Phone (337) 365-7311

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/ibermed-05842f36

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1124101225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 E. MAIN ST.",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "70560",
            "telephone_number": "337-364-1103",
            "fax_number": "337-364-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 E. MAIN ST.",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "70560",
            "telephone_number": "337-364-1103",
            "fax_number": "337-364-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITCH",
        "first_name": "CARL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "013926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1199150",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

Verify at the official NPI Registry.