Michael Lawrence Drerup, M.D.
Individual provider Active NPI Neurological Surgery Physician · Alexandria, LA
NPI 1437157286 · NPPES record last updated Jan 13, 2025
Key facts
- NPI
- 1437157286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurological Surgery Physician 207T00000X
- License
- MD.017263 (LA)
- Practice address
- 3704 North Blvd
Suite C
Alexandria, LA 71301-3606 - Phone
- (318) 443-4576
- Fax
- (318) 449-5579
- NPI assigned
- Jul 13, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.07 of 100
- Quality
- 65.81
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 68.17
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100916000876 | LA | Practitioner - Neurosurgery | 5294745758 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17263 | LA | MD | Social Worker |
| MD.017263 | LA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rapides Regional Physician Group Specialty Care, LLC | Specialist | Current |
Accepting new patients |
| Lasalle Parish Hospital Service District #1 | Current |
Accepting new patients | |
| Double D Health Professionals LLC | Neurological Surgery | Current | Accepting new patients |
| Lasalle Parish Hospital Service Dist No1 | Current |
Accepting new patients | |
| Lasalle Parish Hospital Service District #1 | Current |
Accepting new patients |
Locations
3704 North Blvd
Ste C
Alexandria, LA 71301
Phone (318) 443-4576
501 Medical Center Dr
Ste 1A
Alexandria, LA 71301
Phone (318) 442-5800
201 4th St
Ste 4A
Alexandria, LA 71301
Phone (318) 442-8698
1102 N Pine Rd
Olla, LA 71465
Phone (318) 495-5302
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | MD.017263 | LA | Yes |
Addresses
Primary practice location
3704 North Blvd
Suite C
Alexandria, LA 71301-3606
Mailing address
3704 North Blvd
Suite C
Alexandria, LA 71301-3606
Phone (318) 443-4576
Other practice location 1
2495 Shreveport Hwy
Pineville, LA 71360-4044
Phone (318) 473-0010
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1387797 | Medicaid | LA |
Other providers in Alexandria, LA
- Dr Wilton Guillory Jr & Dr David Carlton III
- Dr. James Norman Thompson
- Brady Randolph Drapekin
- Sol Draper
- Marion Drell
- Adriane Drumgo
- Candice Dryden
- Amanda Dubriel
- Kristen Moreau Dubroc
- Mistie J. Dubroc
All providers in Alexandria, LA · Neurological Surgery Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.