Individual provider Active NPI

Racheed Joseph Ghanami, MD

  • Specialist
  • Lafayette, LA
National Provider Identifier
1326263336
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
041677 Issued in LA
Practice address
155 Hospital Dr
Ste 410
Lafayette, LA 70503-2852
Phone
(337) 289-9700
Fax
(337) 289-9702
NPI assigned
Apr 16, 2007
Last updated
Mar 27, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 041677 LA Primary

Addresses

Primary practice location

155 Hospital Dr
Ste 410
Lafayette, LA 70503-2852

Mailing address

155 Hospital Dr
Ste 410
Lafayette, LA 70503-2852
Phone (337) 289-9700

Other identifiers 1

IdentifierTypeStateIssuer
1445819MedicaidLA

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
I20120705000130 LA Practitioner - Vascular Surgery 1658496955 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Louisiana State University School of Medicine in New Orleans, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians

Practice addresses (Care Compare)

5000 Ambassador Caffery Pkwy
Lafayett, LA 70508-6984
Phone (337) 534-4444

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041677LAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette General Medical Center Inc. CurrentSince Dec 1, 2015 Accepting new patients
Lafayette Health Ventures Inc CurrentSince Apr 23, 2023 Accepting new patients
Lafayette Health Ventures Inc Current Accepting new patients
Southern Vascular Associates LLC Vascular Surgery CurrentSince Sep 1, 2015 Accepting new patients
Lafayette General Medical Center Inc. CurrentSince Dec 1, 2015 Accepting new patients
Lafayette Health Ventures, Inc CurrentSince Apr 23, 2023 Accepting new patients
WRMC Hospital Operating Corporation Past Accepting new patients
Lafayette General Medical Center Inc Past Accepting new patients
Lafayette Health Ventures, Inc Past Accepting new patients

Locations

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

155 Hospital Dr
Ste 301
Lafayette, LA 70503
Phone (337) 232-1010

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

5000 Ambassador Caffery Pkwy
Bldg 1
Lafayette, LA 70508
Phone (337) 261-0928

5000 Ambassador Caffery Pkwy
Ste 100
Lafayette, LA 70508
Phone (318) 201-8801

Interoperability endpoints

  • Direct secure messaging: racheedghanami@lgmllc.allscriptsdirect.net

Organizations & group practices 10

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.

Hospital & facility affiliations 5

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1326263336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 HOSPITAL DR",
            "address_2": "STE 410",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032852",
            "telephone_number": "337-289-9700",
            "fax_number": "337-289-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 HOSPITAL DR",
            "address_2": "STE 410",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032852",
            "telephone_number": "337-289-9700",
            "fax_number": "337-289-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHANAMI",
        "first_name": "RACHEED",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "041677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1445819",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.