Individual provider Active NPI

Allen J Lacour, M.D.

  • Diagnostic Radiology Physician
  • Covington, LA
National Provider Identifier
1184678229
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD.016642 Issued in LA
Practice address
1202 S Tyler St
Covington, LA 70433-2330
Phone
(985) 898-4000
Fax
(225) 930-7524
NPI assigned
May 22, 2006
Last updated
Dec 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD.016642 LA Primary

Addresses

Primary practice location

1202 S Tyler St
Covington, LA 70433-2330

Mailing address

PO Box 1608
Kenner, LA 70063-1608
Phone (225) 922-7961

Other practice location 1

433 Plaza St
Bogalusa, LA 70427-3729
Phone (985) 730-6803

Other identifiers 1

IdentifierTypeStateIssuer
1350508MedicaidLA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address alacour15857@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

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
I20040415000784 LA Practitioner - Diagnostic Radiology 8325033863 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Radiology, LLCGroup PAC ID 2860404811, 40 clinicians

Practice addresses (Care Compare)

1202 S Tyler St
Covington, LA 70433-2330
Phone (985) 898-4000

433 Plaza St
Bogalusa, LA 70427-3729
Phone (985) 730-6706

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16642LAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
MD.016642LAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Radiology, LLC Diagnostic Radiology CurrentSince May 1, 2006 Accepting new patients
Our Lady of the Angels Hospital, Inc. CurrentSince Sep 13, 2014 Accepting new patients
St Tammany Parish Hospital Service District No 1 Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
Washington St. Tammany Regional Medical Center Past Accepting new patients

Locations

433 Plaza St
Bogalusa, LA 70427
Phone (985) 730-6700

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

16282 Highway 1085
Covington, LA 70433
Phone (985) 898-4140

16300 Highway 1085
Covington, LA 70433
Phone (504) 988-2273

82525 Highway 25
Folsom, LA 70437
Phone (985) 839-9895

42570 S Airport Rd
Hammond, LA 70403
Phone (985) 510-6135

1322 Elton Rd
Ste F
Jennings, LA 70546
Phone (337) 824-8868

409 W Pont des Mouton Rd
Lafayette, LA 70507

201 Saint Ann Dr
Ste A
Mandeville, LA 70471
Phone (985) 312-2100

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

2929 Napoleon Ave
New Orleans, LA 70115
Phone (504) 897-8600

1900 Main St
Sheridan, LA 70438
Phone (985) 795-4294

Interoperability endpoints

  • Direct secure messaging: alacour15857@direct.casso.us.com

Organizations & group practices 5

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 7

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1184678229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1608",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700631608",
            "telephone_number": "225-922-7961",
            "fax_number": "225-930-7524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 S TYLER ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332330",
            "telephone_number": "985-898-4000",
            "fax_number": "225-930-7524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 Plaza St",
            "address_purpose": "LOCATION",
            "city": "Bogalusa",
            "state": "LA",
            "postal_code": "704273729",
            "country_code": "US",
            "telephone_number": "985-730-6803",
            "fax_number": "985-730-6806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACOUR",
        "first_name": "ALLEN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "MD.016642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1350508",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alacour15857@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epicd",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "alacour15857@direct.casso.us.com",
            "address_1": "433 Plaza St",
            "city": "Bogalusa",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704273729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "433 Plaza St",
            "city": "Bogalusa",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704273729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.