Organization Active NPI

Pulmonary and Sleep Clinic of Acadiana, LLC

  • Specialist
  • Lafayette, LA
National Provider Identifier
1174830814
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PULMONARY AND SLEEP CLINIC OF ACADIANA, LLC
Practice address
459 Heymann Blvd
Lafayette, LA 70503-2616
Phone
(337) 232-2387
Fax
(337) 269-8854
NPI assigned
Sep 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Authorized official

Name
Dr. Fadi Y Malek, M.D.NPI 1699761056
Title
Specialist
Phone
(337) 232-2387

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

459 Heymann Blvd
Lafayette, LA 70503-2616

Mailing address

459 Heymann Blvd
Lafayette, LA 70503-2616
Phone (337) 232-2387

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110215000758 LA Part B Supplier - Clinic/Group Practice 9234319757 Receives reassigned benefits from 1 practitioner
Practice locations: Lafayette, LA

National Provider Directory

National Provider Directory

Locations

227 Bendel Rd
#B
Lafayette, LA 70503
Phone (337) 232-5864

1103 Kaliste Saloom Rd
Ste 308
Lafayette, LA 70508
Phone (337) 232-2387

453 Heymann Blvd
Lafayette, LA 70503
Phone (337) 232-2387

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1174830814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 HEYMANN BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032616",
            "telephone_number": "337-232-2387",
            "fax_number": "337-269-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 HEYMANN BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032616",
            "telephone_number": "337-232-2387",
            "fax_number": "337-269-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY AND SLEEP CLINIC OF ACADIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-01",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "MALEK",
        "authorized_official_first_name": "FADI",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "SPECIALIST",
        "authorized_official_telephone_number": "337-232-2387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.