Individual provider Active NPI

Louis Howard Nix, M.D.

  • Internal Medicine Physician
  • Lafayette, LA
National Provider Identifier
1306801576
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
015719 Issued in LA
Practice address
3149 Ambassador Caffery Pkwy
Lafayette, LA 70506-7209
Phone
(337) 706-3415
NPI assigned
Apr 19, 2006
Last updated
Oct 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 015719 LA Primary

Addresses

Primary practice location

3149 Ambassador Caffery Pkwy
Lafayette, LA 70506-7209

Mailing address

Alexandria Vahcs - Lafayette Campus a Cboc
3149 Ambassador Caffery Parkway
Lafayette, LA 70506-7209
Phone (337) 706-3415

Other practice location 1

1200 Hospital Dr Ste 4
Opelousas, LA 70570-6552
Phone (337) 948-7090

Other identifiers 2

IdentifierTypeStateIssuer
015719OtherLAMEDICAL LICENSE NUMBER
1331198MedicaidLA

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
I20101202000581 LA Practitioner - Internal MedicinePractitioner - Other (Physician)Practitioner - Geriatric MedicinePractitioner - Sleep Medicine 5698829901 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
015719LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acadiana Medicine Clinic, Apmc Internal Medicine CurrentSince Jan 1, 1992 Accepting new patients
Opelousas General Hospital Authority CurrentSince Jan 1, 1992 Accepting new patients
Opelousas General Hospital Authority Internal Medicine CurrentSince Jan 1, 1992 Accepting new patients
Dana Grbic, MD, a Professional Medical Corporation Internal Medicine PastSince Oct 6, 2024 Accepting new patients
Community Care Center of Opelousas LLC Past Accepting new patients

Locations

1200 Hospital Dr
Ste 4
Opelousas, LA 70570
Phone (337) 447-4027

539 E Prudhomme St
Opelousas, LA 70570
Phone (337) 943-7128

Organizations & group practices 5

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1306801576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ALEXANDRIA VAHCS - LAFAYETTE CAMPUS A CBOC",
            "address_2": "3149 AMBASSADOR CAFFERY PARKWAY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705067209",
            "telephone_number": "337-706-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3149 AMBASSADOR CAFFERY PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705067209",
            "telephone_number": "337-706-3415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Hospital Dr Ste 4",
            "address_purpose": "LOCATION",
            "city": "Opelousas",
            "state": "LA",
            "postal_code": "705706552",
            "country_code": "US",
            "telephone_number": "337-948-7090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIX",
        "first_name": "LOUIS",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "015719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "015719",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1331198",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.