Individual provider Active NPI

Nisha B Patel, M.D.

  • Gastroenterology Physician
  • Lake Charles, LA
National Provider Identifier
1538304597
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD.208021 Issued in LA
Practice address
555 Dr. Michael Debakey Drive
Suite 101
Lake Charles, LA 70601-5700
Phone
(337) 439-0762
Fax
(337) 439-9253
NPI assigned
Dec 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD.208021 LA Primary

Addresses

Primary practice location

555 Dr. Michael Debakey Drive
Suite 101
Lake Charles, LA 70601-5700

Mailing address

555 Dr. Michael Debakey Drive
Suite 101
Lake Charles, LA 70601-5700
Phone (337) 439-0762

Other identifiers 1

IdentifierTypeStateIssuer
2413309MedicaidLA

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
I20160209001951 LA Practitioner - GastroenterologyPractitioner - Internal Medicine 8224215058 Reassigns benefits to 1 organization
Practice locations: Lake Charles, LA

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Texas Medical Branch at Galveston, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

401 Doctor Michael Debakey Dr
Lake Charles, LA 70601-5864
Phone (337) 436-6100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy233
Upper gastrointestinal (GI) endoscopy for acid reflux235

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Nov 19, 2021 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Nov 19, 2021 Accepting new patients

Locations

401 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 436-6100

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

Interoperability endpoints

  • Direct secure messaging: npatel1422589@direct.ochsner.org

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.

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1538304597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 DR. MICHAEL DEBAKEY DRIVE",
            "address_2": "SUITE 101",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015700",
            "telephone_number": "337-439-0762",
            "fax_number": "337-439-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 DR. MICHAEL DEBAKEY DRIVE",
            "address_2": "SUITE 101",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015700",
            "telephone_number": "337-439-0762",
            "fax_number": "337-439-9253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NISHA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-04",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "LA",
            "license": "MD.208021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2413309",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.