Individual provider Active NPI

Agostino Ingraldi, M.D.

  • Interventional Cardiology Physician
  • Lafayette, LA
National Provider Identifier
1427254432
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
201585 Issued in LA
Practice address
441 Heymann Blvd
Lafayette, LA 70503-2611
Phone
(337) 289-8429
Fax
(337) 289-8431
NPI assigned
Jun 26, 2007
Last updated
Oct 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 201585 LA
Interventional Cardiology Physician 207RI0011X 201585 LA Primary

Addresses

Primary practice location

441 Heymann Blvd
Lafayette, LA 70503-2611

Mailing address

441 Heymann Blvd
Lafayette, LA 70503-2611
Phone (337) 289-8429

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
I20070810000587 LA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 3779674346 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Martin Hospital IncGroup PAC ID 4688720782, 13 clinicians
Cardiovascular Institute of the South, LLCGroup PAC ID 3779497441, 145 clinicians

Practice addresses (Care Compare)

1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7991

210 Champagne Blvd
Breaux Bridge, LA 70517-3700
Phone (337) 332-2178

441 Heymann Blvd
Lafayette, LA 70503-2611
Phone (337) 289-8429

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting17
Varicose vein removal47
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette General Medical Center Inc. CurrentSince Aug 2, 2011 Accepting new patients
Lafayette Health Ventures Inc CurrentSince Oct 27, 2022 Accepting new patients
Lsuhn Billing LLC CurrentSince Nov 18, 2013 Accepting new patients
St. Martin Hospital, Inc. Cardiovascular Disease CurrentSince May 12, 2013 Accepting new patients
St. Martin Hospital, Inc. CurrentSince May 12, 2013 Accepting new patients
Lafayette Health Ventures Inc Current Accepting new patients
University Hospital & Clinics, Inc. CurrentSince Oct 28, 2013 Accepting new patients
Lafayette General Medical Center Inc. Cardiovascular Disease CurrentSince Aug 2, 2011 Accepting new patients
Lafayette Health Ventures, Inc CurrentSince Oct 27, 2022 Accepting new patients
University Hospital & Clinics Inc CurrentSince Oct 28, 2013 Accepting new patients
Lsuhn Billing LLC CurrentSince Nov 18, 2013 Accepting new patients
Kenneth L Entes MD Apmc Cardiovascular Disease PastSince Mar 18, 2020 Accepting new patients

Locations

210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178

1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

1216 Camellia Blvd
Lafayette, LA 70508
Phone (337) 769-0069

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

2810 Ambassador Caffery Pkwy
Lafayette, LA 70506
Phone (337) 593-5423

443 Heymann Blvd
Ste B
Lafayette, LA 70503
Phone (337) 232-2520

Interoperability endpoints

  • Direct secure messaging: aingraldi408151@direct.ochsner.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

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": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1427254432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 HEYMANN BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032611",
            "telephone_number": "337-289-8429",
            "fax_number": "337-289-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 HEYMANN BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032611",
            "telephone_number": "337-289-8429",
            "fax_number": "337-289-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRALDI",
        "first_name": "AGOSTINO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "201585",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "LA",
            "license": "201585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.