Individual provider Active NPI

Derek J. Deshotel, CRNA

  • Certified Registered Nurse Anesthetist
  • Alexandria, LA
National Provider Identifier
1235289539
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
070004 Issued in LA
Practice address
211 4TH St
Alexandria, LA 71301-8421
Phone
(318) 473-3000
NPI assigned
Jan 11, 2007
Last updated
May 1, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 070004 LA Primary

Addresses

Primary practice location

211 4TH St
Alexandria, LA 71301-8421

Mailing address

211 4TH St
Box 30135
Alexandria, LA 71301-8421
Phone (318) 448-8440

Other identifiers 1

IdentifierTypeStateIssuer
1674931MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040610000563 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557344694 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LCMS Cardiovascular Diseases, LLCGroup PAC ID 1951541515, 34 clinicians
Eunice Anesthesiology Group LLCGroup PAC ID 2365430758, 14 clinicians

Practice addresses (Care Compare)

1701 Oak Park Blvd
Lake Charles, LA 70601-8911
Phone (337) 494-3255

3501 Hwy 190
Eunice, LA 70535-5129
Phone (337) 468-2767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
070004LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Allen Parish Hospital District No 3 CurrentSince Oct 1, 2025 Accepting new patients
Anesthesiology Group Associates Inc CurrentSince Sep 13, 2009 Accepting new patients
LCMS Cardiovascular Diseases, LLC CurrentSince Aug 22, 2015 Accepting new patients
Allen Parish Hospital District No 3 CurrentSince Oct 1, 2025 Accepting new patients
Lake Charles Anesthesiology, Apmc CurrentSince Feb 7, 2022 Accepting new patients
Allen Parish Hospital District No 3 Current Accepting new patients
Willis Knighton Medical Center Inc. Crna Group Nurse Anesthetist, Certified Registered Past Accepting new patients
Mid-Louisiana Anesthesia Consultants, Apmc PastSince Jul 1, 1995 Accepting new patients
The Capital City Anesthesia Group, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Med-Trans Corporation Past Accepting new patients
Southern Pain & Anesthesia Consultants, LLC Past Accepting new patients
Twin City Anesthesia Past Accepting new patients
Southern Pain & Anesthesia Consultants LLC Past Accepting new patients
DRS Burleigh, Dupleix and Rees Past Accepting new patients
Professional Anesthesia Consultants, LLP Past Accepting new patients
Melanie C. Firmin, MD Apmc Past Accepting new patients

Locations

11414 Lake Sherwood Ave N
Baton Rouge, LA 70816
Phone (225) 532-4058

7777 Hennessy Blvd
Ste 301
Baton Rouge, LA 70808
Phone (225) 214-6436

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

108 6th Ave
Kinder, LA 70648
Phone (337) 738-2527

1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000

524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1235289539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 4TH ST",
            "address_2": "BOX 30135",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018421",
            "telephone_number": "318-448-8440",
            "fax_number": "318-473-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 4TH ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018421",
            "telephone_number": "318-473-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHOTEL",
        "first_name": "DEREK",
        "middle_name": "J.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "070004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1674931",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.