NPIMap

Individual provider Active NPI

Jake Thomas Lebeau, MD

  • Interventional Cardiology Physician
  • Lake Charles, LA
National Provider Identifier
1174659668
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD.206026 Issued in LA
Practice address
501 Michael Debakey Drive
Lake Charles, LA 70601-5724
Phone
(337) 312-8246
Fax
(337) 497-1173
NPI assigned
Feb 26, 2007
Last updated
May 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD.206026 LA
Interventional Cardiology Physician 207RI0011X MD.206026 LA Primary
Hospitalist Physician 208M00000X 2008026265 MO

Addresses

Primary practice location

501 Michael Debakey Drive
Lake Charles, LA 70601-5724

Mailing address

501 Michael Debakey Drive
Lake Charles, LA 70601-5724
Phone (337) 312-8360

Other practice location 1

703 Cypress St Ste A
Sulphur, LA 70663-5053
Phone (337) 310-0395

Other identifiers 1

IdentifierTypeStateIssuer
2367102MedicaidLA

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
I20141015001919 LA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7517016223 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Baylor College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imperial Health LLPGroup PAC ID 7719886779, 75 clinicians

Practice addresses (Care Compare)

501 Doctor Michael Debakey Dr
Lake Charles, LA 70601-5724
Phone (337) 433-8400

524 Doctor Michael Debakey Dr
Lake Charles, LA 70601-5725
Phone (337) 436-2511

703 Cypress St
Suite a
Sulphur, LA 70663-5053
Phone (337) 310-0395

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting64
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.206026LAMDCardiovascular Disease Physician
2008026265MOMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Health, LLP Cardiovascular Disease CurrentSince Jul 15, 2014 Accepting new patients
Calcasieu Cameron Hospital Service District Current Accepting new patients
West Louisiana Health Services Inc CurrentSince Jan 21, 2020 Accepting new patients
Calcasieu Cameron Hospital Service District CurrentSince Jan 16, 2025 Accepting new patients
Calcasieu Cameron Hospital Service District CurrentSince Jan 16, 2025 Accepting new patients
Christus Health Southwestern Louisiana CurrentSince Aug 15, 2014 Accepting new patients
Imperial Health LLP CurrentSince Jul 15, 2014 Accepting new patients
Calcasieu Cameron Hospital Service District Cardiovascular Disease PastSince Feb 1, 2020 Accepting new patients

Locations

501 Shirley St
Deridder, LA 70634
Phone (337) 202-7850

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

1020 Main St
Hackberry, LA 70645
Phone (337) 762-3762

401 Dr Michael Debakey Dr
Ste 300
Lake Charles, LA 70601
Phone (337) 602-9991

4150 Nelson Rd
Ste G
Lake Charles, LA 70605
Phone (337) 310-0440

4200 Nelson Rd
Lake Charles, LA 70605
Phone (318) 474-6370

501 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 312-8258

524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455

600 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 439-5800

701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270

703 Cypress St
Ste A
Sulphur, LA 70663
Phone (337) 310-0395

Interoperability endpoints

  • Direct secure messaging: jake.lebeau@1288.direct.myezyaccess.com
  • Direct secure messaging: jlebeau5284421@direct.casso.us.com

Organizations & group practices 8

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 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1174659668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MICHAEL DEBAKEY DRIVE",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015724",
            "telephone_number": "337-312-8360",
            "fax_number": "337-312-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MICHAEL DEBAKEY DRIVE",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015724",
            "telephone_number": "337-312-8246",
            "fax_number": "337-497-1173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 Cypress St Ste A",
            "address_purpose": "LOCATION",
            "city": "Sulphur",
            "state": "LA",
            "postal_code": "706635053",
            "country_code": "US",
            "telephone_number": "337-310-0395",
            "fax_number": "337-313-5389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBEAU",
        "first_name": "JAKE",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "MD.206026",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "LA",
            "license": "MD.206026",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2008026265",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2367102",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.