Individual provider Active NPI

Eliza Tate, MD

  • Family Medicine Physician
  • Port Barre, LA
National Provider Identifier
1184010605
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
310597 Issued in LA
Practice address
17695 Highway 190
Port Barre, LA 70577
Phone
(337) 585-7989
NPI assigned
Apr 10, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 310597 LA Primary

Addresses

Primary practice location

17695 Highway 190
Port Barre, LA 70577

Mailing address

17695 Highway 190
Port Barre, LA 70577-5178
Phone (337) 308-0802

Other practice location 1

17695 Highway 190
Port Barre, LA 70577
Phone (337) 585-7989

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181128003138 LA Practitioner - Family Practice 4082918578 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

17695 Hwy 190
Port Barre, LA 70577-5178
Phone (337) 585-7898

3975 I-49 S Services Rd
Suite 200
Opelousas, LA 70570-0775
Phone (337) 594-3980

539 E Prudhomme St
Opelousas, LA 70570-6499

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Lafayette, LA, CCN 197263
  • St Landry Homecare Home health agency, Opelousas, LA, CCN 197136
  • Opelousas General Health System Hospital, Opelousas, LA, CCN 190017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
310597LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Opelousas General Health System Physician Practices Family Medicine Current Accepting new patients
Acadian Hospitalist Group LLC CurrentSince Nov 1, 2023 Accepting new patients
Opelousas General Health System CurrentSince Oct 1, 2024 Accepting new patients
Opelousas General Health System CurrentSince Oct 1, 2024 Accepting new patients
Tate Primary Care LLC Family Medicine CurrentSince Sep 1, 2018 Accepting new patients
Opelousas General Hospital Authority Past Accepting new patients

Locations

821 Elliott St
Alexandria, LA 71301
Phone (318) 441-1030

539 E Prudhomme St
Opelousas, LA 70570
Phone (337) 943-7128

3975 I 49 S Service Rd
Ste 200
Opelousas, LA 70570
Phone (337) 594-0750

3975 I 49 S Service Rd
Ste 105
Opelousas, LA 70570
Phone (337) 597-0750

Organizations & group practices 6

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 3

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": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1184010605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17695 HIGHWAY 190",
            "city": "PORT BARRE",
            "state": "LA",
            "postal_code": "705775178",
            "telephone_number": "337-308-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17695 HIGHWAY 190",
            "city": "PORT BARRE",
            "state": "LA",
            "postal_code": "70577",
            "telephone_number": "337-585-7989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17695 Highway 190",
            "address_purpose": "LOCATION",
            "city": "Port Barre",
            "state": "LA",
            "postal_code": "70577",
            "country_code": "US",
            "telephone_number": "337-585-7989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATE",
        "first_name": "ELIZA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "310597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Barre, LA

Sources for this page

Verify at the official NPI Registry.