Stephen J. Delatte, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD200512 Issued in LA

Practice address

100 Drury Lane
Lafayette, LA 70508

Phone

(337) 269-4949

Fax

(337) 269-4950

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Plastic and Reconstructive Surgery

Education

Louisiana State University School of Medicine in New Orleans, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Park Place Surgical Hospital Hospital, Lafayette, LA, CCN 190255
• Our Lady of Lourdes Regional Medical Center, Inc Hospital, Lafayette, LA, CCN 190102

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Park Place Surgery Center, LLC

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1215996632

  Corporate Director

  CMS ownership

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.

• Willcare, LLC

  • Plastic and Reconstructive Surgery Physician
  • Lafayette, LA
  • NPI 1669675054
  Medicare reassignment NPD Authorized official
• The Burn Surgeons of Acadiana, LLC

  • Surgery Physician
  • Lafayette, LA
  • NPI 1619234176
  NPD

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

• Our Lady of Lourdes Regional Medical Center, Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1598766495
  Care Compare affiliation
• Park Place Surgery Center, LLC

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1215996632
  Care Compare affiliation

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1245253194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DRURY LANE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "337-269-4949",
            "fax_number": "337-269-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DRURY LANE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "337-269-4949",
            "fax_number": "337-269-4950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "917 Coolidge Blvd",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705033060",
            "country_code": "US",
            "telephone_number": "337-269-4949",
            "fax_number": "337-269-4950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Drury Lane",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "70508",
            "country_code": "US",
            "telephone_number": "337-269-4949",
            "fax_number": "337-269-4950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELATTE",
        "first_name": "STEPHEN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "MD200512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1590347",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": ".",
            "affiliation": "N",
            "address_1": "100 Drury Lane",
            "city": "Lafayette",
            "state": "LA",
            "country_code": "US",
            "postal_code": "70508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Katherine Delahoussaye
• Lauren B Delahoussaye, LCSW
• Mary Maitland Deland, MD
• Cory Lynn Delaney
• Dominique Marie Delcambre, LCSW
• Antoinette Watson Delhomme
• Tracy Delhomme, ANP-BC
• Dellscare, LLC
• Deloach Therapy Services

• Specialist in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• 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.