Organization Active NPI

In-House Medical Management LLC

Doing business as Powell Dermatology

  • Dermatology Physician
  • Lafayette, LA
National Provider Identifier
1326827783
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
IN-HOUSE MEDICAL MANAGEMENT LLC
Doing business as
Powell Dermatology
Practice address
121 Rue Louis Xiv BLDG 5a
Lafayette, LA 70508-5787
Phone
(337) 761-5595
Fax
(337) 761-5262
NPI assigned
Sep 25, 2023
Last updated
Sep 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Authorized official

Name
Dr. David Powell, MDNPI 1295701456
Title
Managing Partner
Phone
(713) 208-9344

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X Primary

Addresses

Primary practice location

121 Rue Louis Xiv BLDG 5a
Lafayette, LA 70508-5787

Mailing address

121 Rue Louis Xiv BLDG 5a
Lafayette, LA 70508-5787
Phone (713) 208-9344

Other practice location 1

3355 Masonic Dr
Alexandria, LA 71301-3842
Phone (337) 761-5595

Other names 1

  • Powell Dermatology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231218003506 LA Part B Supplier - Clinic/Group Practice 7416304068 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, LA; Lafayette, 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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2300791In-House Medical Management LLC121 Rue Louis Xiv, BLDG 5a, Lafayette, LA 70508Certificate of waiverMar 14, 2028

National Provider Directory

National Provider Directory

Locations

121 Rue Louis Xiv
Bldg 5A
Lafayette, LA 70508
Phone (337) 269-7494

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1326827783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 RUE LOUIS XIV BLDG 5A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085787",
            "telephone_number": "713-208-9344",
            "fax_number": "337-761-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 RUE LOUIS XIV BLDG 5A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085787",
            "telephone_number": "337-761-5595",
            "fax_number": "337-761-5262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3355 Masonic Dr",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713013842",
            "country_code": "US",
            "telephone_number": "337-761-5595",
            "fax_number": "337-761-5262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IN-HOUSE MEDICAL MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "713-208-9344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Powell Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 25, 2023; 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.