Active NPI
Derek J. Deshotel, CRNA
- Certified Registered Nurse Anesthetist
- Alexandria, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 070004
- Practice address
- 211 4TH St
Alexandria, LA 71301-8421 - Phone
- (318) 473-3000
- NPI assigned
- Jan 11, 2007
- Last updated
- May 1, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1674931 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070004 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allen Parish Hospital District No 3 | Current | Accepting new patients | |
| Anesthesiology Group Associates Inc | Current | Accepting new patients | |
| LCMS Cardiovascular Diseases, LLC | Current | Accepting new patients | |
| Allen Parish Hospital District No 3 | Current | Accepting new patients | |
| Lake Charles Anesthesiology, Apmc | Current | 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 | Past | 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
- 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.
-
dba MMG Anesthesia
- Anesthesiology Physician
- Lake Charles, LA
- NPI 1285869370
-
- Anesthesiology Physician
- Eunice, LA
- NPI 1386681278
-
dba Allen Parish Hospital
- Psychiatric Hospital Unit
- Kinder, LA
- NPI 1982601944
-
- Specialist
- Baton Rouge, LA
- NPI 1255399598
-
- Anesthesiology Physician
- Lake Charles, LA
- NPI 1588674790
-
dba dba Family Health Plaza
- Family Medicine Physician
- Lafayette, LA
- NPI 1417986092
-
dba APCH Reeves RHC
- Multi-Specialty Clinic/Center
- Reeves, LA
- NPI 1225251432
-
dba APCH Emergency Services
- Emergency Medicine Physician
- Kinder, LA
- NPI 1497615447
-
dba Lafayette Anesthesia Services
- Anesthesiology Physician
- Lafayette, LA
- NPI 1659368694
-
- Interventional Pain Medicine Physician
- Alexandria, LA
- NPI 1760598726
-
- Anesthesiology Physician
- Alexandria, LA
- NPI 1205888914
-
- Anesthesiology Physician
- Alexandria, LA
- NPI 1720071525
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.