NPIMap

Individual provider Active NPI

Carriel Taylor Nipp, M.D.

  • Interventional Cardiology Physician
  • Lake Charles, LA
National Provider Identifier
1184165326
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
340396 Issued in LA
Practice address
501 Dr Michael Debakey Dr
Lake Charles, LA 70601-5724
Phone
(337) 312-8281
Fax
(337) 497-1173
NPI assigned
Mar 20, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 340396 LA
Interventional Cardiology Physician 207RI0011X 340396 LA Primary

Addresses

Primary practice location

501 Dr Michael Debakey Dr
Lake Charles, LA 70601-5724

Mailing address

501 Dr Michael Debakey Dr
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, LA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200909001519 NC Practitioner - Internal MedicinePractitioner - Hospitalist 6002247483 Reassigns benefits to 1 organization
I20240717004378 LA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6002247483 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of North Carolina at Chapel Hill School of Medicine, 2017
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

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 stenting31
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
340396LAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Health LLP CurrentSince Jul 1, 2024 Accepting new patients
Calcasieu Cameron Hospital Service District CurrentSince Apr 14, 2025 Accepting new patients
Calcasieu Cameron Hospital Service District CurrentSince Apr 14, 2025 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Internal Medicine Current Accepting new patients
Imperial Health, LLP Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation CurrentSince Jul 30, 2023 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Jul 30, 2023 Accepting new patients
Calcasieu Cameron Hospital Service District Past Accepting new patients
Calcasieu Cameron Hospital Service District Past Accepting new patients

Locations

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

1636 Elton Rd
Ste 205
Jennings, LA 70546
Phone (337) 580-7500

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

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

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

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

2400 W Friendly Ave
Greensboro, NC 27403
Phone (336) 832-1100

1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

Interoperability endpoints

  • Direct secure messaging: carriel.nipp@1288.direct.myezyaccess.com

Organizations & group practices 9

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1184165326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 DR MICHAEL DEBAKEY DR",
            "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 DR MICHAEL DEBAKEY DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015724",
            "telephone_number": "337-312-8281",
            "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": "NIPP",
        "first_name": "CARRIEL",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-20",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "340396",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "LA",
            "license": "340396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.