Active NPI
Andrew Aaron Paulk
- Internal Medicine Physician
- Lake Charles, LA
National Provider Identifier
1487116778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 342469
- Practice address
- 1000 Walters St
Lake Charles, LA 70607-4647 - Phone
- (337) 480-8066
- Fax
- (337) 480-8109
- NPI assigned
- Apr 4, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 342469 | LA | Primary |
Addresses
Primary practice location
1000 Walters St
Lake Charles, LA 70607-4647
Mailing address
PO Box 122108 Dept 2108
Dallas, TX 75312-0001
Phone (337) 494-2772
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, 2019
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 342469 | LA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LCMS Rehabilitation Institute of Southwest Louisiana | Current | Accepting new patients | |
| LC Hospital Medicine Physicians, LLC | Internal Medicine | Current | Accepting new patients |
| Southwest Louisiana Hospital Association Inc | Past | 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
Interoperability endpoints
- apaulk5309304@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 and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Lake Charles, LA
- NPI 1215161922
-
- Internal Medicine Physician
- Lake Charles, LA
- NPI 1417654724
-
- General Acute Care Hospital
- Lake Charles, LA
- NPI 1972549855
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Student Health Clinic/Center
- Lake Charles, LA
- NPI 1093927105
Hospital
-
- Student Health Clinic/Center
- Lake Charles, LA
- NPI 1205040995
Hospital
-
- Student Health Clinic/Center
- Grand Chenier, LA
- NPI 1407068299
Hospital
-
- General Acute Care Hospital
- Lake Charles, LA
- NPI 1629076468
-
- Student Health Clinic/Center
- Lake Charles, LA
- NPI 1710191473
Hospital
-
- Critical Access Hospital
- Dequincy, LA
- NPI 1902469653
-
- Rural Acute Care Hospital
- Deridder, LA
- NPI 1831193499
-
- General Acute Care Hospital
- Jennings, LA
- NPI 1184373268
-
- Gastroenterology Physician
- Lake Charles, LA
- NPI 1285351411
Hospital
-
- Rheumatology Physician
- Lake Charles, LA
- NPI 1659424075
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": "1554336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729209600000",
"number": "1487116778",
"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": "753120001",
"telephone_number": "337-494-2772",
"fax_number": "337-494-2928"
},
{
"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": "337-480-8109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULK",
"first_name": "ANDREW",
"middle_name": "AARON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-04",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "342469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.