Pediatric Clinic of Lafayette LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC CLINIC OF LAFAYETTE LLC

Practice address

104 Genevieve Dr
Lafayette, LA 70503-4811

Phone

(337) 984-0110

Fax

(337) 981-7210

NPI assigned

Oct 18, 2021

Last updated

Oct 18, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Usha Krishnamoorthy, RHIA, CCS-P

Title

Billing Office

Phone

(337) 322-6673

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Loreen Cheye Karani, M.D.

  • Pediatrics Physician
  • Lafayette, LA
  • NPI 1215100631
  NPD

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1184387177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 GENEVIEVE DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705034811",
            "telephone_number": "337-984-0110",
            "fax_number": "337-981-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 GENEVIEVE DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705034811",
            "telephone_number": "337-984-0110",
            "fax_number": "337-981-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CLINIC OF LAFAYETTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "KRISHNAMOORTHY",
        "authorized_official_first_name": "USHA",
        "authorized_official_title_or_position": "BILLING OFFICE",
        "authorized_official_telephone_number": "337-322-6673",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RHIA, CCS-P"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2138332",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Katherine Pearson, CRNA
• Ian J Pecor, PT
• Pecot & Padgett Apmc
• Pediakare de Lousiana
• Pediatric Associates of Lafayette, LLC
• Pediatric Dental Specialists of Lafayette
• Pediatric General Surgery Apmc
• Pediatric Group of Acadiana, LLC
• Pediatric Neurology of Acadiana
• Pediatric Specialties Apmc

• Pediatrics Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.