Individual provider Active NPI

Sheryl Elaine Rodts-Palenik, M.D.

  • Maternal & Fetal Medicine Physician
  • Lafayette, LA
National Provider Identifier
1528048642
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
15090R Issued in LA
Practice address
105 Patriot St Ste 203
Lafayette, LA 70508-6831
Phone
(337) 989-9826
Fax
(337) 989-9829
NPI assigned
Jan 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 15090R LA Primary

Addresses

Primary practice location

105 Patriot St Ste 203
Lafayette, LA 70508-6831

Mailing address

105 Patriot St Ste 203
Lafayette, LA 70508-6831
Phone (337) 989-9826

Other identifiers 1

IdentifierTypeStateIssuer
1159964MedicaidLA

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
I20040503000774 LA Practitioner - Obstetrics/Gynecology 4183612898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Indiana University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

105 Patriot St
Suite 203
Lafayette, LA 70508-6831
Phone (337) 989-9826

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15090RLAMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acadiana Maternal Fetal Medicine Consulting Apmc Maternal & Fetal Medicine CurrentSince Nov 1, 2021 Accepting new patients

Locations

3330 Masonic Dr
Ste 4003
Alexandria, LA 71301
Phone (318) 448-3892

4630 Ambassador Caffery Pkwy
Ste 204
Lafayette, LA 70508
Phone (337) 470-4653

105 Patriot St
Ste 203
Lafayette, LA 70508
Phone (337) 989-9826

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1528048642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PATRIOT ST STE 203",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086831",
            "telephone_number": "337-989-9826",
            "fax_number": "337-989-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PATRIOT ST STE 203",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086831",
            "telephone_number": "337-989-9826",
            "fax_number": "337-989-9829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODTS-PALENIK",
        "first_name": "SHERYL",
        "middle_name": "ELAINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "LA",
            "license": "15090R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1159964",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.