Active NPI
Ping Kok Lie, MD
- Internal Medicine Physician
- Lake Charles, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 11200R
- Practice address
- 1000 Walters St
Lake Charles, LA 70607-4647 - Phone
- (337) 480-8066
- Fax
- (337) 480-8061
- NPI assigned
- Mar 24, 2006
- Last updated
- May 26, 2022
- Sex
- Male
- Sole proprietor
- No
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 | 11200R | LA | Primary |
Addresses
Primary practice location
1000 Walters St
Lake Charles, LA 70607-4647
Mailing address
PO Box 122108 Dept 2108
Dallas, TX 75312-2108
Phone (337) 494-2921
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1997072 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Walters St
Lake Charles, LA 70607-4647
Phone (337) 480-8066
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LCMS Rehabilitation Institute of Southwest Louisiana | Current | Accepting new patients | |
| Southwest Louisiana Hospital Association Inc | Current | Accepting new patients | |
| Southwest Louisiana Hospital Association Inc | Current | Accepting new patients |
Locations
1000 Walters St
Lake Charles, LA 70607
Phone (337) 475-8687
1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000
1717 Oak Park Blvd
Fl 3
Lake Charles, LA 70601
Phone (337) 494-4900
Interoperability endpoints
- alie5281842@direct.casso.us.com
Organizations & group practices 3
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.
-
dba MMG/Moss Campus
- Physical Medicine & Rehabilitation Physician
- Lake Charles, LA
- NPI 1215161922
-
dba SWLHA Professional Services
- Interventional Cardiology Physician
- Lake Charles, LA
- NPI 1902326572
-
dba Digestive Health Center of SWLA
- Gastroenterology Physician
- Lake Charles, LA
- NPI 1285351411
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Digestive Health Center of SWLA
- Gastroenterology Physician
- Lake Charles, LA
- NPI 1285351411
Hospital
-
dba Rheumatology Associates
- Rheumatology Physician
- Lake Charles, LA
- NPI 1659424075
Hospital
-
dba Lake Charles Memorial Hospital
- General Acute Care Hospital
- Lake Charles, LA
- NPI 1972549855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653523200000",
"number": "1447210406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 122108 DEPT 2108",
"city": "DALLAS",
"state": "TX",
"postal_code": "753122108",
"telephone_number": "337-494-2921",
"fax_number": "337-494-6523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 WALTERS ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706074647",
"telephone_number": "337-480-8066",
"fax_number": "337-480-8061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIE",
"first_name": "PING KOK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2022-05-26",
"certification_date": "2022-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "11200R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1997072",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
- Racheal Lewis, LPC
- Ronald Moore Lewis Jr., MD
- LHCG Cvi, LLC (CHRISTUS Homecare St. Partrick)
- LHCG Cvii, LLC (CHRISTUS Hospice and Palliative Care St. Patrick)
- Erin Elizabeth Lichter, MS, RDN, LDN
- Life by Design Chiropractic LLC
- Bianca Lilly, MA, BCBA, LBA
- Charles A Lim, M.D.
- Chih Hao Lin, M.D.
- Lincare Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.
- 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.