Active NPI
Lelann Saitia Latu, DO
- Student in an Organized Health Care Education/Training Program
- North Charleston, SC
National Provider Identifier
1477255149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 90034
- Practice address
- 9330 Medical Plaza Dr
North Charleston, SC 29406-9104 - Phone
- (843) 906-4034
- NPI assigned
- Mar 20, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 90034 | SC | Primary |
Addresses
Primary practice location
9330 Medical Plaza Dr
North Charleston, SC 29406-9104
Mailing address
9225 University Blvd Ste E2A
North Charleston, SC 29406-9149
Phone (843) 906-4034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241119000396 | SC | Order and Referring Only - Emergency Medicine | 0840725560 |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1643 NW 136 Ave
Sunrise, FL 33323-2857
Hospital & facility affiliations
- Trident Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90034 | SC | MD | Prosthetics Case Management |
Interoperability endpoints
- lelann.latu@hca5.eclinicaldirectplus.com
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1366496937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1477255149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9225 UNIVERSITY BLVD STE E2A",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069149",
"telephone_number": "843-906-4034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9330 MEDICAL PLAZA DR",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069104",
"telephone_number": "843-906-4034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATU",
"first_name": "LELANN",
"middle_name": "SAITIA",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-20",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "SC",
"license": "90034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.