Individual provider Active NPI

Ephraim Chinenyeze Opara Jr., MD

  • Family Medicine Physician
  • Lake Charles, LA
National Provider Identifier
1265019434
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
342087 Issued in LA
Practice address
1525 Oak Park Blvd
Lake Charles, LA 70601-8849
Phone
(337) 494-2023
NPI assigned
Mar 25, 2021
Last updated
Jul 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X 342087 LA Primary

Addresses

Primary practice location

1525 Oak Park Blvd
Lake Charles, LA 70601-8849

Mailing address

1525 Oak Park Blvd
Lake Charles, LA 70601-8849
Phone (337) 494-2023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20250702000551 GA Practitioner - Family Practice 0941600753 Reassigns benefits to 1 organization
I20250729003546 NC Practitioner - Family Practice 0941600753 Reassigns benefits to 1 organization
I20250829000033 FL Practitioner - Family Practice 0941600753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
QSM-NC PAGroup PAC ID 1052695798, 17 clinicians

Practice addresses (Care Compare)

1601 Brenner Ave
BLDG 10
Salisbury, NC 28144-2515
Phone (704) 638-4200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue254

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
342087LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
QSM-Ga, Inc CurrentSince Aug 5, 2025 Accepting new patients
QSM-FL, Inc CurrentSince Aug 7, 2025 Accepting new patients
QSM-NC, PA CurrentSince Jun 16, 2025 Accepting new patients
QSM-Ky, Inc Past Accepting new patients

Locations

3800 S Ocean Dr
Ste 209
Hollywood, FL 33019
Phone 80022688741013

1350 E Church St
Jasper, GA 30143
Phone (706) 253-2441

289 S Culver St
Lawrenceville, GA 30046
Phone (404) 458-0809

2255 Anthony Rd
Macon, GA 31204
Phone (478) 301-2525

12825 White Bluff Rd
Savannah, GA 31419
Phone (912) 660-1683

25 Reynolds Mountain Blvd
Asheville, NC 28804
Phone (828) 645-6619

1410 E Gaston St
Lincolnton, NC 28092
Phone (704) 732-1138

498 Madison Rd
Mocksville, NC 27028
Phone (336) 751-3535

3510 W Highway 74
Monroe, NC 28110
Phone (704) 291-8500

1601 Brenner Ave
Bldg 10
Salisbury, NC 28144
Phone (704) 638-4200

405 S Green St
Wadesboro, NC 28170
Phone (704) 695-3301

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1265019434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 OAK PARK BLVD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018849",
            "telephone_number": "337-494-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 OAK PARK BLVD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018849",
            "telephone_number": "337-494-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPARA",
        "first_name": "EPHRAIM",
        "middle_name": "CHINENYEZE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-25",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "342087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.