NPIMap

Organization Active NPI

Louisiana Heart Clinic,Inc

  • Cardiovascular Disease Physician
  • Opelousas, LA
National Provider Identifier
1154574267
Registry record updated Jun 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
12747R Issued in LA
Legal business name
LOUISIANA HEART CLINIC,INC
Doing business as
Louisiana Heart Clinic,Inc
Practice address
611 E Prudhomme St
Suite 3
Opelousas, LA 70570-6458
Phone
(337) 942-5750
Fax
(337) 948-9405
NPI assigned
Nov 3, 2008
Last updated
Jun 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2009

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

Authorized official

Name
Dr. Usman Alam, M.D.,F.A.C.C.NPI 1174568208
Title
Physician
Phone
(337) 942-5750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 12747R LA Primary

Addresses

Primary practice location

611 E Prudhomme St
Suite 3
Opelousas, LA 70570-6458

Mailing address

PO Box 52844
Lafayette, LA 70505-2844
Phone (337) 942-5750

Other names 1

  • LOUISIANA HEART CLINIC,INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090601000095 LA Part B Supplier - Clinic/Group Practice 3173672797 Receives reassigned benefits from 1 practitioner
Practice locations: Lafayette, LA; Opelousas, LA

National Provider Directory

National Provider Directory

Locations

401 Youngsville Hwy
Lafayette, LA 70508
Phone (337) 330-0031

611 E Prudhomme St
Ste 3
Opelousas, LA 70570
Phone (337) 942-5750

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1154574267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52844",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705052844",
            "telephone_number": "337-942-5750",
            "fax_number": "337-948-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E PRUDHOMME ST",
            "address_2": "SUITE 3",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706458",
            "telephone_number": "337-942-5750",
            "fax_number": "337-948-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA HEART CLINIC,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "ALAM",
        "authorized_official_first_name": "USMAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "337-942-5750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,F.A.C.C."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "12747R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOUISIANA HEART CLINIC,INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Opelousas, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.