Active NPI
Michael L Odinet, M.D.
- Emergency Medicine Physician
- Lafayette, LA
National Provider Identifier
1306861646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 025999
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1055956 | Medicaid | LA | |
| 04866 | Other | LA | BCBS |
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 025999 | LA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acadiana Acute Care Associates, LLC | Emergency Medicine | Current | 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.
-
- Emergency Medicine Physician
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- NPI 1629915962
-
- Emergency Medical Services (Emergency Medicine) Physician
- Luling, LA
- NPI 1407148133
-
- Emergency Medicine Physician
- Lafayette, LA
- NPI 1538181128
Emergency Medicine
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.