Individual provider Active NPI

Lisa B David, M.D.

  • Otolaryngology Physician
  • Lafayette, LA
National Provider Identifier
1245209899
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
022594 Issued in LA
Practice address
109 Rue Fountaine
Lafayette, LA 70508-5744
Phone
(337) 266-9820
Fax
(337) 266-9822
NPI assigned
Mar 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 022594 LA Primary

Addresses

Primary practice location

109 Rue Fountaine
Lafayette, LA 70508-5744

Mailing address

109 Rue Fountaine
Lafayette, LA 70508-5744
Phone (337) 266-9820

Other identifiers 1

IdentifierTypeStateIssuer
1490849MedicaidLA

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
I20031229000249 LA Practitioner - Otolaryngology 9032017207 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Louisiana State University School of Medicine in New Orleans, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David and Eldredge ENT Specialists, LLCGroup PAC ID 2860526266, 4 clinicians

Practice addresses (Care Compare)

109 Rue Fontaine
Lafayette, LA 70508-5744
Phone (337) 266-9820

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.63 of 100Reported as individual
Quality
67.26
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
022594LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lsuhn Billing LLC CurrentSince Jan 21, 2011 Accepting new patients
David and Eldredge ENT Specialists, LLC Otolaryngology CurrentSince Jul 1, 2010 Accepting new patients
Lsuhn Billing LLC CurrentSince Jan 21, 2011 Accepting new patients
Richard J. Bidstrup, M.D. LTD. Otolaryngology PastSince Sep 5, 2010 Accepting new patients

Locations

109 Rue Fontaine
Lafayette, LA 70508
Phone (337) 266-9820

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8240/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lisa.david.1@8240.direct.athenahealth.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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1245209899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 RUE FOUNTAINE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085744",
            "telephone_number": "337-266-9820",
            "fax_number": "337-266-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 RUE FOUNTAINE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085744",
            "telephone_number": "337-266-9820",
            "fax_number": "337-266-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "LISA",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": "022594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1490849",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.