Individual provider Active NPI

Chad Wesley Rossitter, M.D.

  • Nephrology Physician
  • Opelousas, LA
National Provider Identifier
1386961308
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD.206575 Issued in LA
Practice address
1620 Commerce Blvd Ste C
Opelousas, LA 70570-2066
Phone
(337) 594-0675
Fax
(781) 464-2551
NPI assigned
Apr 30, 2010
Last updated
May 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 206575 LA
Nephrology Physician 207RN0300X MD.206575 LA Primary

Addresses

Primary practice location

1620 Commerce Blvd Ste C
Opelousas, LA 70570-2066

Mailing address

1620 Commerce Blvd Ste C
Opelousas, LA 70570-2066
Phone (337) 594-0675

Other practice location 1

1340 Surrey St Ste 100
Lafayette, LA 70501-7647
Phone (337) 594-0675

Other identifiers 1

IdentifierTypeStateIssuer
2107470MedicaidLA

Other names 1

  • Chad W Rossitter Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address crossitter34260@direct.acumenmd.com

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
I20140114001156 LA Practitioner - Internal MedicinePractitioner - NephrologyPractitioner - Emergency Medicine 5890923031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Center of Excellence LLCGroup PAC ID 0648545095, 2 clinicians

Practice addresses (Care Compare)

1620 Commerce Blvd
Suite C
Opelousas, LA 70570-2066
Phone (337) 594-0675

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
206575LAMDNephrology Physician
MD.206575LAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Center of Excellence LLC Single Specialty CurrentSince Sep 1, 2017 Accepting new patients
Physicians Unity Single Specialty PastSince Sep 1, 2017 Accepting new patients

Locations

1340 Surrey St
Ste 100
Lafayette, LA 70501
Phone (303) 384-4000

1620 Commerce Blvd
#C
Opelousas, LA 70570
Phone (337) 594-0675

2362 Larkspur Ln
Opelousas, LA 70570
Phone (337) 594-0675

927 E Prudhomme St
Opelousas, LA 70570
Phone (337) 594-0675

Interoperability endpoints

  • Direct secure messaging: crossitter34260@direct.acumenmd.com

Organizations & group practices 2

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 9

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": "1272585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1386961308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 COMMERCE BLVD STE C",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705702066",
            "telephone_number": "337-594-0675",
            "fax_number": "781-464-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 COMMERCE BLVD STE C",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705702066",
            "telephone_number": "337-594-0675",
            "fax_number": "781-464-2551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1340 Surrey St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705017647",
            "country_code": "US",
            "telephone_number": "337-594-0675",
            "fax_number": "781-464-2551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSSITTER",
        "first_name": "CHAD",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-30",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "206575",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "MD.206575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2107470",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crossitter34260@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "1620 Commerce Blvd Ste C",
            "city": "Opelousas",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705702066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHAD",
            "last_name": "ROSSITTER",
            "middle_name": "W",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Opelousas, LA

Sources for this page

Verify at the official NPI Registry.