NPIMap

Individual provider Active NPI

Eric Paul Fontenot, MD

  • Internal Medicine Physician
  • Lafayette, LA
National Provider Identifier
1437228657
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
201186 Issued in LA
Practice address
1219 Coolidge Blvd
Lafayette, LA 70503-2620
Phone
(337) 233-4980
Fax
(337) 233-4980
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 201186 LA Primary

Addresses

Primary practice location

1219 Coolidge Blvd
Lafayette, LA 70503-2620

Mailing address

1219 Coolidge Blvd
Lafayette, LA 70503-2620
Phone (337) 233-4980

Other identifiers 1

IdentifierTypeStateIssuer
1066117MedicaidLA

Other names 1

  • Dr. Eric Paul Fontenot Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070206000451 LA Practitioner - Internal Medicine 0345242251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1301 Camellia Blvd
Suite 300
Lafayette, LA 70508-7089

Hospital & facility affiliations

  • Community Home Health of Acadiana Home health agency, Lafayette, LA, CCN 197797
  • Nursing Specialties Home health agency, Lafayette, LA, CCN 197297
  • Acadian Homecare, LLC Home health agency, Lafayette, LA, CCN 197060
  • Community Hospice of Lafayette Hospice, Lafayette, LA, CCN 191628
  • Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002
  • Ochsner St Martin Hospital Hospital, Breaux Bridge, LA, CCN 191302
  • Lake Charles Memorial Hospital Hospital, Lake Charles, LA, CCN 190060
  • Our Lady of Lourdes Regional Medical Center, Inc Hospital, Lafayette, LA, CCN 190102
  • Camelot Rehabilitation at Magnolia Park Nursing home, Lafayette, LA, CCN 195573

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201186LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eric Fontenot MD Internal Medicine Group L.L.C. PastSince Jan 1, 1990 Accepting new patients
Community Hospice Care LLC Past Accepting new patients
Hospitalist Medicine Physicians of Louisiana, LLC Internal Medicine Past Accepting new patients
William a. Bernard, MD, Inc. Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Community Hospice of LafayetteLafayette, LA, CCN 191628 Hospice Contracted Managing Employee (5%) Jan 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 11

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1437228657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 COOLIDGE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032620",
            "telephone_number": "337-233-4980",
            "fax_number": "337-233-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 COOLIDGE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032620",
            "telephone_number": "337-233-4980",
            "fax_number": "337-233-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "ERIC",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "201186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1066117",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIC",
            "last_name": "FONTENOT",
            "middle_name": "PAUL",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.