Individual provider Active NPI

Frederick D. Hall, MD

  • Ophthalmology Physician
  • Lafayette, LA
National Provider Identifier
1215900949
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
024934 Issued in LA
Practice address
516 Saint Landry St
Lafayette, LA 70506-4626
Phone
(337) 235-7791
NPI assigned
Feb 13, 2006
Last updated
Dec 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 024934 LA Primary

Addresses

Primary practice location

516 Saint Landry St
Lafayette, LA 70506-4626

Mailing address

PO Box 90507
Lafayette, LA 70509-0507
Phone (337) 981-0305

Other identifiers 1

IdentifierTypeStateIssuer
1421979MedicaidLA

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
I20060224000627 LA Practitioner - Ophthalmology 1355357641 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lsuhn Billing LLCGroup PAC ID 0446337802, 203 clinicians
Azar Instruments Inc.Group PAC ID 2466416540, 9 clinicians

Practice addresses (Care Compare)

2390 W Congress St
Lafayette, LA 70506-4205
Phone (337) 261-6000

516 Saint Landry St
Lafayette, LA 70506-4626
Phone (337) 235-7791

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.05 of 100Reported as group
Quality
82.12
Promoting interoperability
100
Improvement activities
40
Cost
71.37

Merit-based Incentive Payment System (MIPS)

Final score
98.35 of 100Reported as group
Quality
94.93
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery203

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024934LAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lsuhn Billing LLC CurrentSince Apr 28, 2008 Accepting new patients
Azar Instruments Inc. CurrentSince Mar 27, 2008 Accepting new patients
Lsuhn Billing LLC CurrentSince Apr 28, 2008 Accepting new patients
Iberia Eye Center,LLC Ophthalmology PastSince Nov 16, 2005 Accepting new patients

Locations

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

401 Saint Julien Ave
Lafayette, LA 70506
Phone (337) 234-3249

516 Saint Landry St
Lafayette, LA 70506
Phone (318) 235-7791

Interoperability endpoints

  • Direct secure messaging: fhall@azareyedirect.com

Organizations & group practices 4

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 2

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1215900949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90507",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705090507",
            "telephone_number": "337-981-0305",
            "fax_number": "337-981-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 SAINT LANDRY ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064626",
            "telephone_number": "337-235-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "FREDERICK",
        "middle_name": "D.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "024934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1421979",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.