Individual provider Active NPI

Juan Carlos Zeik, M.D.

  • Nephrology Physician
  • Lafayette, LA
National Provider Identifier
1275569485
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
06475R Issued in LA
Practice address
300 W Saint Mary Blvd
Lafayette, LA 70506-4638
Phone
(337) 233-6593
Fax
(337) 235-1032
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 06475R LA Primary

Addresses

Primary practice location

300 W Saint Mary Blvd
Lafayette, LA 70506-4638

Mailing address

300 W Saint Mary Blvd
Lafayette, LA 70506-4638
Phone (337) 233-6593

Other identifiers 1

IdentifierTypeStateIssuer
1358177MedicaidLA

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
I20100818000014 LA Practitioner - NephrologyPractitioner - NeurologyPractitioner - Internal Medicine 5799873246 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lsuhn Billing LLC CurrentSince Jul 16, 2014 Accepting new patients
Abbeville General Hospital CurrentSince Mar 17, 2013 Accepting new patients
Lsuhn Billing LLC CurrentSince Jul 16, 2014 Accepting new patients
Acadiana Renal Physicians AMC Nephrology CurrentSince Mar 1, 1993 Accepting new patients
Gulf Coast Nephrology, LLC Nephrology CurrentSince Apr 1, 2023 Accepting new patients
Abbeville General Hospital CurrentSince Mar 17, 2013 Accepting new patients

Locations

118 N Hospital Dr
Abbeville, LA 70510
Phone (337) 893-5466

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

300 W Saint Mary Blvd
Lafayette, LA 70506
Phone (337) 233-1542

2804 Ambassador Caffery Pkwy
Lafayette, LA 70506
Phone (337) 981-5156

300 18th St
Ste 200
Lake Charles, LA 70601
Phone (337) 439-5369

224 N Lewis St
New Iberia, LA 70563
Phone (318) 364-1103

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1275569485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W SAINT MARY BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064638",
            "telephone_number": "337-233-6593",
            "fax_number": "337-235-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W SAINT MARY BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064638",
            "telephone_number": "337-233-6593",
            "fax_number": "337-235-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEIK",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "06475R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1358177",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.