NPIMap

Individual provider Active NPI

John A Digiglia III, MD

  • Family Medicine Physician
  • Lake Charles, LA
National Provider Identifier
1497717656
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19034 Issued in LA
Practice address
4150 Nelson Rd Ste E5
Lake Charles, LA 70605-4133
Phone
(337) 474-7290
Fax
(337) 477-4674
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19034 LA Primary

Addresses

Primary practice location

4150 Nelson Rd Ste E5
Lake Charles, LA 70605-4133

Mailing address

501 Dr Michael Debakey Dr
Lake Charles, LA 70601-5724
Phone (337) 312-8258

Other identifiers 1

IdentifierTypeStateIssuer
1018163MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040108000544 LA Practitioner - Family PracticePractitioner - Emergency Medicine 1951200864 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imperial Health LLPGroup PAC ID 7719886779, 75 clinicians

Practice addresses (Care Compare)

277N Hwy 171
Suite 8
Lake Charles, LA 70611-5374
Phone (337) 312-0030

4201 Nelson Rd
Suite 100
Lake Charles, LA 70605-4117
Phone (337) 310-2273

501 Doctor Michael Debakey Dr
Lake Charles, LA 70601-5724
Phone (337) 433-8400

Hospital & facility affiliations

  • Southern Home Health Home health agency, Lake Charles, LA, CCN 197766
  • Christus Homecare St Patrick Home health agency, Lake Charles, LA, CCN 197015
  • Christus Ochsner St Patrick Hospital Hospital, Lake Charles, LA, CCN 190027
  • Christus Ochsner Lake Area Hospital Hospital, Lake Charles, LA, CCN 190201
  • West Calcasieu Cameron Hospital Hospital, Sulphur, LA, CCN 190013

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19034LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians Emergency Medicine of Louisiana Inc CurrentSince Apr 7, 2020 Accepting new patients
BHG Lxii LLC Current Accepting new patients
Imperial Health LLP CurrentSince Jun 1, 1999 Accepting new patients
Imperial Health, LLP Family Medicine CurrentSince Jun 1, 1999 Accepting new patients
BHG Lxii LLC CurrentSince Dec 1, 2022 Accepting new patients
Vcphcs VI, LLC CurrentSince Nov 28, 2016 Accepting new patients
BHG Lxii LLC CurrentSince Dec 1, 2022 Accepting new patients
Imperial Health LLP Family Medicine Past Accepting new patients
Applegate Health Services, Inc Past Accepting new patients

Locations

4201 Nelson Rd
Ste 100
Lake Charles, LA 70605
Phone (337) 310-2273

4200 Nelson Rd
Lake Charles, LA 70605
Phone (318) 474-6370

2829 4th Ave
Ste 200
Lake Charles, LA 70601
Phone (337) 433-8281

524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455

4150 Nelson Rd
Ste E5
Lake Charles, LA 70605
Phone (337) 474-7290

4150 Nelson Rd
Ste A3
Lake Charles, LA 70605
Phone (318) 474-0653

501 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 312-8258

2235 Poydras St
Unit B
New Orleans, LA 70119
Phone (504) 524-7205

1303 Line Ave
Ste 600
Shreveport, LA 71101
Phone (318) 425-3400

5001 Spring Vly
Ste 600E
Dallas, TX 75244

Interoperability endpoints

  • Direct secure messaging: john.digiglia@1288.direct.myezyaccess.com

Organizations & group practices 11

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1497717656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 DR MICHAEL DEBAKEY DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015724",
            "telephone_number": "337-312-8258",
            "fax_number": "337-312-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 NELSON RD STE E5",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054133",
            "telephone_number": "337-474-7290",
            "fax_number": "337-477-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGIGLIA",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "19034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018163",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.