Individual provider Active NPI

Andre' Louis Pinac III, M.D.

  • Obstetrics & Gynecology Physician
  • Opelousas, LA
National Provider Identifier
1336251065
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
016264 Issued in LA
Practice address
816 Creswell LN
Suite 1
Opelousas, LA 70570-5818
Phone
(337) 942-2112
Fax
(337) 942-5805
NPI assigned
Aug 31, 2006
Last updated
May 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 016264 LA Primary

Addresses

Primary practice location

816 Creswell LN
Suite 1
Opelousas, LA 70570-5818

Mailing address

816 Creswell LN
Suite 1
Opelousas, LA 70570-5818
Phone (337) 942-2112

Other identifiers 1

IdentifierTypeStateIssuer
1348830MedicaidLA

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
I20060905000347 LA Practitioner - Obstetrics/Gynecology 7911901962 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Opelousas, LA 70570
Phone (337) 684-2299

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue37
Removal of skin lesions1-10
Removal of nail tissue14
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
016264LAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acadia-St. Landry Hospital Service District CurrentSince Aug 28, 2025 Accepting new patients
Dr Andre L Pinac III LLC Obstetrics & Gynecology CurrentSince Mar 10, 2006 Accepting new patients
Acadia-St. Landry Hospital Service District CurrentSince Aug 28, 2025 Accepting new patients

Locations

810 S Broadway St
Church Point, LA 70525
Phone (337) 684-4281

816 Creswell Ln
Ste 1
Opelousas, LA 70570
Phone (337) 942-2112

Organizations & group practices 3

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1336251065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 CRESWELL LN",
            "address_2": "SUITE 1",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705705818",
            "telephone_number": "337-942-2112",
            "fax_number": "337-942-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 CRESWELL LN",
            "address_2": "SUITE 1",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705705818",
            "telephone_number": "337-942-2112",
            "fax_number": "337-942-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINAC",
        "first_name": "ANDRE'",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "016264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1348830",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

Verify at the official NPI Registry.