NPIMap

Individual provider Active NPI

Philippe Edouard Prouet II, M.D.

  • Hematology & Oncology Physician
  • Lafayette, LA
National Provider Identifier
1134562523
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
312641 Issued in LA
Practice address
1211 Coolidge Blvd Ste 100
Lafayette, LA 70503-2638
Phone
(337) 289-8400
Fax
(337) 289-8401
NPI assigned
Apr 16, 2013
Last updated
Jul 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Hematology & Oncology Physician 207RH0003X 312641 LA Primary

Addresses

Primary practice location

1211 Coolidge Blvd Ste 100
Lafayette, LA 70503-2638

Mailing address

324 Dulles Dr
Lafayette, LA 70506-3008
Phone (337) 706-1582

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
I20190823000131 LA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 8123267895 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Louisiana State University School of Medicine in Shreveport, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1211 Coolidge Blvd
Suite 404
Lafayette, LA 70503-2638
Phone (337) 769-2531

1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7991

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette General Medical Center Inc. CurrentSince Aug 1, 2019 Accepting new patients
Lafayette Health Ventures Inc CurrentSince Oct 1, 2019 Accepting new patients
Lafayette Health Ventures Inc Current Accepting new patients
University Hospital & Clinics, Inc. CurrentSince Mar 24, 2024 Accepting new patients
Lafayette General Medical Center Inc. CurrentSince Aug 1, 2019 Accepting new patients
University Hospital & Clinics Inc CurrentSince Mar 24, 2024 Accepting new patients
Lafayette Health Ventures, Inc CurrentSince Oct 1, 2019 Accepting new patients

Locations

118 N Hospital Dr
Abbeville, LA 70510
Phone (337) 893-5466

1305 Crowley Rayne Hwy
#200
Crowley, LA 70526
Phone (337) 788-6545

1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222

1211 Coolidge Blvd
Ste 100
Lafayette, LA 70503
Phone (337) 234-5234

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

1216 Camellia Blvd
Lafayette, LA 70508
Phone (337) 769-0069

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

324 Dulles Dr
Lafayette, LA 70506

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

Interoperability endpoints

  • Direct secure messaging: pprouet1441102@direct.ochsner.org

Organizations & group practices 7

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.

Hospital & facility affiliations 7

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": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1134562523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 DULLES DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063008",
            "telephone_number": "337-706-1582",
            "fax_number": "337-261-2697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 COOLIDGE BLVD STE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032638",
            "telephone_number": "337-289-8400",
            "fax_number": "337-289-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROUET",
        "first_name": "PHILIPPE",
        "middle_name": "EDOUARD",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-16",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "LA",
            "license": "312641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.