Individual provider Active NPI

David William Powell, MD

  • Dermatology Physician
  • Lafayette, LA
National Provider Identifier
1295701456
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
021910 Issued in LA
Practice address
121 Rue Louis Xiv BLDG 5a
Lafayette, LA 70508-5787
Phone
(713) 208-9344
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X J9788 TX
Dermatology Physician 207N00000X 021910 LA Primary

Addresses

Primary practice location

121 Rue Louis Xiv BLDG 5a
Lafayette, LA 70508-5787

Mailing address

121 Rue Louis Xiv BLDG 5a
Lafayette, LA 70508-5787
Phone (713) 208-9344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20031211000803 TX Practitioner - DermatologyPractitioner - Family Practice 8426954157 Reassigns benefits to 1 organization
I20091013000197 LA Practitioner - Dermatology 8426954157 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Tulane University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McDaniel Dermatology, LLCGroup PAC ID 6507279932, 3 clinicians

Practice addresses (Care Compare)

121 Rue Louis Xiv
BLDG 5a
Lafayette, LA 70508-5787
Phone (337) 761-5595

222 Hwy 21
Madisonville, LA 70447-9676
Phone (985) 277-5463

Hospital & facility affiliations

  • Mercy Health St Ritas Medical Center Hospital, Lima, OH, CCN 360066

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision15
Removal of tissue1-10
Removal of skin lesions1119
Removal or shaving of skin growth1-10
Skin biopsy362

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021910LAMDDermatology Physician
J9788TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermasurgery Center, LLC Dermatology CurrentSince Aug 15, 2019 Accepting new patients
Oliver Street 5.01(a) Inc. Dermatology CurrentSince Oct 15, 2018 Accepting new patients
In-House Medical Management LLC Dermatology CurrentSince Dec 18, 2023 Accepting new patients
Roopal Bhatt MD, PA Dermatology PastSince Oct 15, 2018 Accepting new patients
John Chapman LLC Dermatology Past Accepting new patients
Main Line Dermatology, Inc. PastSince Dec 3, 1994 Accepting new patients

Locations

3355 Masonic Dr
Alexandria, LA 71301
Phone (318) 449-8600

121 Rue Louis Xiv
Bldg 5A
Lafayette, LA 70508
Phone (337) 269-7494

1245 Camellia Blvd
Ste 300
Lafayette, LA 70508
Phone (337) 839-2773

111 Veterans Memorial Blvd
Ste 406
Metairie, LA 70005
Phone (504) 838-8225

701 Metairie Rd
Ste 2A205
Metairie, LA 70005
Phone (504) 836-2050

3434 Prytania St
Ste 310
New Orleans, LA 70115
Phone (504) 897-5899

6618 Sitio del Rio Blvd
#D1
Austin, TX 78730
Phone (512) 478-3376

1801 E 51st St
Ste 320
Austin, TX 78723
Phone (512) 478-3376

5420 West Loop S
Ste 4500
Bellaire, TX 77401
Phone (713) 529-8787

1327 Lake Pointe Pkwy
Ste 416
Sugar Land, TX 77478
Phone (281) 494-0050

1367 Dominion Plz
Tyler, TX 75703
Phone (903) 534-6200

Interoperability endpoints

  • Direct secure messaging: dpowell@powellderm.emadirect.md

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1295701456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 RUE LOUIS XIV BLDG 5A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085787",
            "telephone_number": "713-208-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 RUE LOUIS XIV BLDG 5A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085787",
            "telephone_number": "713-208-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "DAVID",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "J9788",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "021910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.