NPIMap

Individual provider Active NPI

Adam D Olsan, M.D.

  • Diagnostic Radiology Physician
  • Lake Charles, LA
National Provider Identifier
1245213164
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
025282 Issued in LA
Practice address
1800 Ryan St
Suite 105
Lake Charles, LA 70601-6078
Phone
(337) 439-4706
Fax
(337) 439-8110
NPI assigned
Nov 23, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 025282 LA Primary

Addresses

Primary practice location

1800 Ryan St
Suite 105
Lake Charles, LA 70601-6078

Mailing address

1800 Ryan St
Suite 105
Lake Charles, LA 70601-6078
Phone (337) 439-4706

Other identifiers 3

IdentifierTypeStateIssuer
1577511MedicaidLA
32344OtherLACDS
P00230279OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050630000291 LA Practitioner - Diagnostic Radiology 2860445459 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Louisiana State University School of Medicine in New Orleans, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Southwest LouisianaGroup PAC ID 0941243562, 98 clinicians
Second Avenue MRI LLCGroup PAC ID 0749203610, 10 clinicians

Practice addresses (Care Compare)

1601 Country Club Rd
Lake Charles, LA 70605-5325
Phone (337) 439-7778

1701 Oak Park Blvd
Lake Charles, LA 70601-8911
Phone (337) 494-3036

2770 3Rd Ave
Suite 125
Lake Charles, LA 70601-8994
Phone (337) 494-2674

3704 N Blvd
Alexandria, LA 71301-3658
Phone (318) 545-4038

524 Doctor Michael Debakey Dr
Lake Charles, LA 70601-5725
Phone (337) 436-2511

701 Cypress St
Sulphur, LA 70663-5053
Phone (337) 528-9094

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Quality
86.33
Improvement activities
40
Cost
87.82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025282LAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Southwest Louisiana Diagnostic Radiology CurrentSince Jul 1, 2005 Accepting new patients
Louisiana Pet/CT Imaging of Lake Charles. LLC CurrentSince Mar 1, 2022 Accepting new patients
Second Avenue MRI LLC Diagnostic Radiology CurrentSince Dec 15, 2005 Accepting new patients
Calcasieu Cameron Hospital Service District Past Accepting new patients
University Medical Imaging PC Diagnostic Radiology PastSince Jul 1, 2000 Accepting new patients
Cenla Urology Clinic LLC Past Accepting new patients
Radiologists of Univ of Rochester Diagnostic Radiology PastSince Jul 1, 2021 Accepting new patients

Locations (25 of 37)

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

221 Windermere Blvd
Alexandria, LA 71303
Phone (318) 427-3300

224 Pecan Park Ave
Alexandria, LA 71303
Phone (318) 427-7900

301 4th St
Alexandria, LA 71301
Phone (318) 441-1030

3311 Prescott Rd
Ste 100
Alexandria, LA 71301
Phone (318) 442-3384

3311 Prescott Rd
Ste 4001
Alexandria, LA 71301

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

3425 North Blvd
Ste A
Alexandria, LA 71301
Phone (318) 473-1921

3704 North Blvd
Alexandria, LA 71301
Phone (318) 448-8211

5413 Jackson Street Ext
Alexandria, LA 71303
Phone (318) 442-8399

5419 Jackson Street Ext
#A
Alexandria, LA 71303
Phone (318) 441-2226

651 N Bolton Ave
Alexandria, LA 71301
Phone (318) 443-3511

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

187 Ninth St
Jena, LA 71342
Phone (318) 992-9200

1000 Walters St
Lake Charles, LA 70607
Phone (337) 475-8687

1601 Country Club Rd
Lake Charles, LA 70605
Phone (337) 439-7778

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

1747 Imperial Blvd
Ste B
Lake Charles, LA 70605
Phone (337) 312-8284

1750 Ryan St
Lake Charles, LA 70601
Phone (337) 433-3001

1800 Ryan St
Ste 105
Lake Charles, LA 70601
Phone (337) 291-9161

2770 3rd Ave
Ste 125
Lake Charles, LA 70601
Phone (337) 494-2674

4200 Nelson Rd
Lake Charles, LA 70605
Phone (318) 474-6370

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

600 Bayou Pines East Dr
Ste A
Lake Charles, LA 70601
Phone (337) 493-5310

831 Lake Shore Dr
Lake Charles, LA 70601
Phone (337) 433-3001

Interoperability endpoints

  • Direct secure messaging: aolsan5281775@direct.casso.us.com
  • FHIR API: https://app.meldrx.com/api/fhir/uc27777_cenlaurologyclinic

Organizations & group practices 7

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 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1245213164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 RYAN ST",
            "address_2": "SUITE 105",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706016078",
            "telephone_number": "337-439-4706",
            "fax_number": "337-439-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 RYAN ST",
            "address_2": "SUITE 105",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706016078",
            "telephone_number": "337-439-4706",
            "fax_number": "337-439-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSAN",
        "first_name": "ADAM",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "025282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1577511",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "32344",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00230279",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.