NPIMap

Organization Active NPI

Orthopaedic Sports Specialists of Louisiana LLC

Doing business as OrthoLA

  • Orthopaedic Surgery Physician
  • Thibodaux, LA
National Provider Identifier
1316146228
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPAEDIC SPORTS SPECIALISTS OF LOUISIANA LLC
Doing business as
OrthoLA
Practice address
726 N Acadia Rd Ste 1000
Thibodaux, LA 70301-5051
Phone
(985) 625-2200
Fax
(985) 625-2206
NPI assigned
Jul 12, 2007
Last updated
Oct 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Authorized official

Name
Dr. David W Elias, M.D.NPI 1821049743
Title
Owner/Operator
Phone
(985) 625-2200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary
Orthopaedic Hand Surgery Physician 207XS0106X
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X

Addresses

Primary practice location

726 N Acadia Rd Ste 1000
Thibodaux, LA 70301-5051

Mailing address

726 N Acadia Rd Ste 1000
Thibodaux, LA 70301-5051
Phone (985) 625-2200

Other identifiers 1

IdentifierTypeStateIssuer
1821049743OtherLADR'S INDIVIDUAL NPI

Other names 1

  • OrthoLA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071112000318 LA Part B Supplier - Clinic/Group Practice 5991893869 Receives reassigned benefits from 30 practitioners
Practice locations: Franklin, LA; Houma, LA; La Place, LA; Lutcher, LA; Raceland, LA; Thibodaux, LA
O20111012000709 LA DME Supplier - Physician - Orthopedic/Orthopedic SurgeryDME Supplier - Orthotic PersonnelDME Supplier - Sports MedicineDME Supplier - OtherDME Supplier - Prosthetic Personnel 5991893869 Practice locations: Thibodaux, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Orthopaedic Sports Specialists of L726 N Acadia Rd, Thibodaux, LA 70301-5009(985) 625-2200 Neuromuscular Elect Stimulators (NMES)/Supplies|Pneumatic Compression Devices and/or Supplies|Canes and/or Crutches|Walkers|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Accepts assignmentParticipating since Sep 14, 2007

National Provider Directory

National Provider Directory

Locations

726 N Acadia Rd
Ste 10000
Thibodaux, LA 70301

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571184000000",
    "number": "1316146228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 N ACADIA RD STE 1000",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703015051",
            "telephone_number": "985-625-2200",
            "fax_number": "985-625-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 N ACADIA RD STE 1000",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703015051",
            "telephone_number": "985-625-2200",
            "fax_number": "985-625-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC SPORTS SPECIALISTS OF LOUISIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2019-10-16",
        "status": "A",
        "authorized_official_last_name": "ELIAS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "985-625-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR'S INDIVIDUAL NPI",
            "identifier": "1821049743",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OrthoLA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OrthoLA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.