Active NPI
Luiz C Dearaujo, M.D.
- Neurological Surgery Physician
- Lafayette, LA
National Provider Identifier
1528014586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 06212R
- Practice address
- 116 Hospital Dr
Suite a
Lafayette, LA 70503-2819 - Phone
- (337) 269-6004
- Fax
- (337) 261-9003
- NPI assigned
- May 25, 2006
- Last updated
- Jun 5, 2014
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 06212R | LA | Primary |
Addresses
Primary practice location
116 Hospital Dr
Suite a
Lafayette, LA 70503-2819
Mailing address
116 Hospital Dr
Suite a
Lafayette, LA 70503-2819
Phone (337) 269-6004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1335517 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06212R | LA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen Goldware, M.D. a Professional Medical Corporation | Neurological Surgery | Past | Accepting new patients |
| Kothapalli & Kothapalli LTD, Apmc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Lafayette, LA
- NPI 1922148113
-
- Neurological Surgery Physician
- Lafayette, LA
- NPI 1619389889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401926400000",
"number": "1528014586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 HOSPITAL DR",
"address_2": "SUITE A",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032819",
"telephone_number": "337-269-6004",
"fax_number": "337-261-9003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 HOSPITAL DR",
"address_2": "SUITE A",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032819",
"telephone_number": "337-269-6004",
"fax_number": "337-261-9003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEARAUJO",
"first_name": "LUIZ",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2014-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "LA",
"license": "06212R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1335517",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.