NPIMap

Organization Active NPI

Louisiana Gastroenterology Associates LLC

  • Gastroenterology Physician
  • Lafayette, LA
National Provider Identifier
1366195091
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
LOUISIANA GASTROENTEROLOGY ASSOCIATES LLC
Practice address
1211 Coolidge Blvd Ste 303
Lafayette, LA 70503-2636
Phone
(337) 232-6697
Fax
(337) 500-1358
NPI assigned
Feb 2, 2022
Last updated
Feb 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Authorized official

Name
Tasha Cieslak
Title
Authorized Signee
Phone
(337) 232-6697

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU
Clinical Social Worker 1041C0700X NU
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

1211 Coolidge Blvd Ste 303
Lafayette, LA 70503-2636

Mailing address

1211 Coolidge Blvd Ste 303
Lafayette, LA 70503-2636
Phone (337) 232-6697

Other practice location 1

439 Heymann Blvd
Lafayette, LA 70503-2616
Phone (337) 269-0963

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220309001421 LA Part B Supplier - Clinic/Group Practice 4789079781 Receives reassigned benefits from 40 practitioners
Practice locations: Lafayette, LA; Breaux Bridge, LA; Abbeville, LA; Kaplan, 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
19D0982971Louisiana Gastroenterology Associates, LLC1211 Coolidge Blvd, Suite 303, Lafayette, LA 70503ComplianceAug 12, 2026

National Provider Directory

National Provider Directory

Locations

118 N Hospital Dr
Fl 3
Abbeville, LA 70510
Phone (337) 893-3002

1555 Gary Dr
#B
Breaux Bridge, LA 70517
Phone (337) 233-9900

Practitioners & affiliated clinicians

Practitioners 44

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 44

NPI Registry JSON

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1366195091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 COOLIDGE BLVD STE 303",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032636",
            "telephone_number": "337-232-6697",
            "fax_number": "337-500-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 COOLIDGE BLVD STE 303",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032636",
            "telephone_number": "337-232-6697",
            "fax_number": "337-500-1358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "439 Heymann Blvd",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705032616",
            "country_code": "US",
            "telephone_number": "337-269-0963",
            "fax_number": "337-269-2553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOUISIANA GASTROENTEROLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "CIESLAK",
        "authorized_official_first_name": "TASHA",
        "authorized_official_title_or_position": "AUTHORIZED SIGNEE",
        "authorized_official_telephone_number": "337-232-6697"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 25, 2025; 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.