Organization Active NPI

Surgicare of Lake Charles LLC

Doing business as Surgicare of Lake Charles

  • Ambulatory Surgical Clinic/Center
  • Lake Charles, LA
National Provider Identifier
1427098201
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
AS00010009 Issued in LA
Legal business name
SURGICARE OF LAKE CHARLES LLC
Doing business as
Surgicare of Lake Charles
Practice address
2100 Lake St
Lake Charles, LA 70601
Phone
(337) 436-6941
Fax
(337) 436-6932
NPI assigned
Jun 8, 2006
Last updated
Sep 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Dina B Langley
Title
Administrator
Phone
(337) 436-6941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X AS00010009 LA Primary

Addresses

Primary practice location

2100 Lake St
Lake Charles, LA 70601

Mailing address

2100 Lake St
Lake Charles, LA 70601-7104
Phone (337) 436-6941

Other names 1

  • Surgicare of Lake Charles Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070117000003 LA Part B Supplier - Ambulatory Surgical Center 9436150588 Practice locations: Lake Charles, LA
O20250812003943 LA Part B Supplier - Ambulatory Surgical Center 4486152055 Practice locations: Lake Charles, LA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Surgicare of Lake CharlesCCN 19C0001004
Medicare certification status
ActiveFrom the Provider of Services file

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
19D0701684Surgicare of Lake Charles, LLC2100 Lake Street, Lake Charles, LA 70601Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1427098201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 LAKE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017104",
            "telephone_number": "337-436-6941",
            "fax_number": "337-377-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LAKE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70601",
            "telephone_number": "337-436-6941",
            "fax_number": "337-436-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICARE OF LAKE CHARLES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "LANGLEY",
        "authorized_official_first_name": "DINA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "337-436-6941"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "LA",
            "license": "AS00010009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgicare of Lake Charles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.