Active NPI
Shaun Walker, DO
- Internal Medicine Physician
- Lafayette, LA
National Provider Identifier
1417488461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 323074
- Practice address
- 2390 W Congress St
Lafayette, LA 70506-4205 - Phone
- (225) 276-1825
- NPI assigned
- Mar 22, 2017
- Sex
- Male
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Baton Rouge, LA
- NPI 1306247556
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1306281126
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Lafayette, LA
- NPI 1275580151
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1275536799
Hospital
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1306281126
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Pikeville, Kentucky College of Osteopathic Med, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lsuhn Billing LLC
Practice addresses (Care Compare)
2390 W Congress St
Lafayette, LA 70506-4205
Phone (337) 261-6000
Hospital & facility affiliations
- Acadian Homecare, LLC
- Ochsner University Hospital and Clinics
- Ochsner Lafayette General Medical Center
- Ochsner St Martin Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.05 of 100
- Quality
- 82.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.37
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210819001762 | LA | Practitioner - Internal Medicine | 4981972932 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lsuhn Billing LLC | Current | Accepting new patients | |
| Lsuhn Billing LLC | Current | Accepting new patients | |
| University Hospital & Clinics, Inc. | Past | Accepting new patients |
Locations
2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000
324 Dulles Dr
Lafayette, LA 70506
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 323074 | LA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2390 W Congress St
Lafayette, LA 70506-4205
Mailing address
13725 Shady Ridge Ave
Baton Rouge, LA 70817-2846
Phone (225) 755-0337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 8, 2023.
{
"created_epoch": "1490140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1417488461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13725 SHADY RIDGE AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708172846",
"telephone_number": "225-755-0337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2390 W CONGRESS ST",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705064205",
"telephone_number": "225-276-1825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "SHAUN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-22",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "323074",
"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 Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.