Individual provider Active NPI

Ping Kok Lie, MD

  • Internal Medicine Physician
  • Lake Charles, LA
National Provider Identifier
1447210406
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11200R Issued in LA
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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 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

IdentifierTypeStateIssuer
1997072MedicaidLA

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
I20110124000172 LA Practitioner - Internal Medicine 5890974885 Reassigns benefits to 2 organizations

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
LCMS Rehabilitation Institute of Southwest LouisianaGroup PAC ID 7012061930, 35 clinicians

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

OrganizationSpecialtyStatusNew patients
LCMS Rehabilitation Institute of Southwest Louisiana CurrentSince Jun 24, 2014 Accepting new patients
Southwest Louisiana Hospital Association Inc CurrentSince Oct 1, 2017 Accepting new patients
Southwest Louisiana Hospital Association Inc CurrentSince Oct 1, 2017 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Sources for this page

Verify at the official NPI Registry.