Individual provider Active NPI

Christopher Eric Novak

  • Internal Medicine Physician
  • Lafayette, LA
National Provider Identifier
1447469515
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD201452 Issued in LA
Practice address
2390 W Congress St
Quality Management Dept
Lafayette, LA 70506-4205
Phone
(337) 261-6323
Fax
(337) 261-6334
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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 MD201452 LA Primary

Addresses

Primary practice location

2390 W Congress St
Quality Management Dept
Lafayette, LA 70506-4205

Mailing address

2390 W Congress St
Quality Management Dept
Lafayette, LA 70506-4205
Phone (337) 261-6323

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
I20080401000868 LA Practitioner - Internal MedicinePractitioner - Emergency Medicine 3971680919 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coolidge Physician Services LLCGroup PAC ID 7113156035, 52 clinicians
Hub City Physician Group LLCGroup PAC ID 3173831211, 26 clinicians

Practice addresses (Care Compare)

1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7991

1305 Crowley Rayne Hwy
Crowley, LA 70526-8202
Phone (337) 783-3222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
89.52
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD201452LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ambassador Physician Services LLC CurrentSince Sep 25, 2007 Accepting new patients
St Martin Physician Services LLC CurrentSince Dec 17, 2024 Accepting new patients
Hub City Physician Group, LLC CurrentSince Sep 30, 2016 Accepting new patients
Coolidge Physician Services LLC CurrentSince Sep 12, 2016 Accepting new patients
Kaplan General Hospital, Inc. Past Accepting new patients
Lafayette General Medical Center Inc Past Accepting new patients

Locations

210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178

1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222

1310 W 7th St
Kaplan, LA 70548
Phone (318) 643-8300

310 Youngsville Hwy
Lafayette, LA 70508
Phone (337) 837-5250

4600 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 371-3135

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

Organizations & group practices 6

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 4

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273017600000",
    "number": "1447469515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 W CONGRESS ST",
            "address_2": "QUALITY MANAGEMENT DEPT",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064205",
            "telephone_number": "337-261-6323",
            "fax_number": "337-261-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 W CONGRESS ST",
            "address_2": "QUALITY MANAGEMENT DEPT",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064205",
            "telephone_number": "337-261-6323",
            "fax_number": "337-261-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "CHRISTOPHER",
        "middle_name": "ERIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2010-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD201452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.