Individual provider Active NPI

Michael L Odinet, M.D.

  • Emergency Medicine Physician
  • Lafayette, LA
National Provider Identifier
1306861646
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
025999 Issued in LA
Practice address
611 Saint Landry St
Lafayette, LA 70506-4627
Phone
(337) 289-2000
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 025999 LA Primary

Addresses

Primary practice location

611 Saint Landry St
Lafayette, LA 70506-4627

Mailing address

PO Box 34935
Dept 199
Seattle, WA 98124-1935
Phone (800) 950-1027

Other identifiers 2

IdentifierTypeStateIssuer
1055956MedicaidLA
04866OtherLABCBS

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
I20070115000273 LA Practitioner - Emergency Medicine 3072513167 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025999LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acadiana Acute Care Associates, LLC Emergency Medicine CurrentSince Jun 10, 2010 Accepting new patients
Life Line Technologies, Inc Dba Xstrememd Current Accepting new patients
Our Lady of Lourdes Regional Medical Center Emergency Medicine Past Accepting new patients
Summit Medical Center Past Accepting new patients
C&M Medical Services-St Charles LLC Past Accepting new patients

Locations

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-2000

611 Saint Landry St
Lafayette, LA 70506
Phone (337) 289-2000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1306861646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34935",
            "address_2": "DEPT 199",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241935",
            "telephone_number": "800-950-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 SAINT LANDRY ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064627",
            "telephone_number": "337-289-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODINET",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "025999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1055956",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04866",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.