Active NPI
Mark E Freeman, M.D.
- Internal Medicine Physician
- Lafayette, LA
National Provider Identifier
1427246974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 020844
- Practice address
- 101 Energy Pkwy
Ste a
Lafayette, LA 70508-3872 - Phone
- (337) 484-1178
- Fax
- (337) 534-8311
- NPI assigned
- Oct 10, 2007
- Last updated
- Jan 26, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 020844 | LA | Primary |
Addresses
Primary practice location
101 Energy Pkwy
Ste a
Lafayette, LA 70508-3872
Mailing address
101 Energy Pkwy
Ste a
Lafayette, LA 70508-3872
Phone (337) 484-1178
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 192168 | Medicaid | LA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220726001262 | LA | Practitioner - General Practice | 3678966330 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Organizations & group practices 1
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.
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Lafayette, LA
- NPI 1649930223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1427246974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 ENERGY PKWY",
"address_2": "STE A",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083872",
"telephone_number": "337-484-1178",
"fax_number": "337-534-8311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 ENERGY PKWY",
"address_2": "STE A",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083872",
"telephone_number": "337-484-1178",
"fax_number": "337-534-8311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "MARK",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-10",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "020844",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "192168",
"state": "LA"
}
],
"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 Jan 26, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.