Organization Active NPI

Insulinic of Lafayette LLC

  • Internal Medicine Physician
  • Lafayette, LA
National Provider Identifier
1437815180
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INSULINIC OF LAFAYETTE LLC
Practice address
220 Johnston St
Lafayette, LA 70501-8059
Phone
(337) 254-9999
Fax
(337) 522-7543
NPI assigned
Nov 16, 2021
Last updated
Jan 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Authorized official

Name
Mr. Shawn Calvit
Title
Ceo
Phone
(337) 254-9999

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

220 Johnston St
Lafayette, LA 70501-8059

Mailing address

220 Johnston St
Lafayette, LA 70501-8059
Phone (337) 254-9999

Other practice location 1

4016 Highway 90 E Ste 113
Broussard, LA 70518-3548
Phone (337) 254-9999

Other practice location 2

16026 Doctors Blvd
Hammond, LA 70403-1478
Phone (337) 254-9999

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220131000182 LA Part B Supplier - Clinic/Group Practice 8123411923 Receives reassigned benefits from 4 practitioners
Practice locations: Broussard, LA; Lafayette, LA; Hammond, LA
O20230919002808 LA DME Supplier - Physician - Internal Medicine 8123411923 Practice locations: Lafayette, LA

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
19D2236931Insulinic of Lafayette LLC220 Johnston Street, Ste a&C, Lafayette, LA 70501Certificate of waiverSep 20, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1437815180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 JOHNSTON ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705018059",
            "telephone_number": "337-254-9999",
            "fax_number": "337-522-7543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 JOHNSTON ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705018059",
            "telephone_number": "337-254-9999",
            "fax_number": "337-522-7543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4016 Highway 90 E Ste 113",
            "address_purpose": "LOCATION",
            "city": "Broussard",
            "state": "LA",
            "postal_code": "705183548",
            "country_code": "US",
            "telephone_number": "337-254-9999",
            "fax_number": "337-522-7543",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16026 Doctors Blvd",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704031478",
            "country_code": "US",
            "telephone_number": "337-254-9999",
            "fax_number": "337-522-7543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INSULINIC OF LAFAYETTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-16",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "CALVIT",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-254-9999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 30, 2023; 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.