Active NPI
Todd C. Ackal, MD
- Anesthesiology Physician
- Lafayette, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 021208
- Practice address
- 1214 Coolidge Blvd
Lafayette, LA 70503-2621 - Phone
- (337) 261-5151
- NPI assigned
- Oct 4, 2005
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 021208 | LA | Primary |
Addresses
Primary practice location
1214 Coolidge Blvd
Lafayette, LA 70503-2621
Mailing address
PO Box 53847
Lafayette, LA 70505-3847
Phone (337) 261-5151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1928542 | Medicaid | LA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060621000032 | LA | Practitioner - Anesthesiology | 6204893985 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Louisiana State University School of Medicine in New Orleans, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anesthesiology and Pain Consultants LLC
Practice addresses (Care Compare)
1103 Kaliste Saloom Rd
Suite 304
Lafayette, LA 70508-5784
Phone (337) 988-5646
Hospital & facility affiliations
- Park Place Surgical Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021208 | LA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youngs Professional Services LLC | Current | Accepting new patients | |
| Anesthesiology & Pain Consultants, LLC | Anesthesiology | Current | Accepting new patients |
| DRS Burleigh, Dupleix and Rees | Anesthesiology | Past | Accepting new patients |
Locations
67252 Industry Ln
Covington, LA 70433
Phone (985) 801-0259
1211 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191
1101 S College Rd
Ste 100
Lafayette, LA 70503
Phone (337) 233-8603
4811 Ambassador Caffery Pkwy
Ste 100
Lafayette, LA 70508
Phone (337) 237-8119
4600 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 371-3135
4801 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-2000
1103 Kaliste Saloom Rd
Ste 304
Lafayette, LA 70508
Phone (318) 981-3546
1101 Kaliste Saloom Rd
Lafayette, LA 70508
Phone (337) 231-5775
1100 Andre St
Ste 300
New Iberia, LA 70563
Phone (337) 364-9225
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Lafayette, LA
- NPI 1841287901
Anesthesiology, LA
-
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
LA
Hospital & facility affiliations 1
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": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205107200000",
"number": "1275520207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 53847",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705053847",
"telephone_number": "337-261-5151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 COOLIDGE BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032621",
"telephone_number": "337-261-5151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKAL",
"first_name": "TODD",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2008-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "LA",
"license": "021208",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1928542",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.