Individual provider Active NPI

David V. Maraist Jr., DPM

  • Podiatrist
  • Opelousas, LA
National Provider Identifier
1609034800
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DPM.200012 Issued in LA
Practice address
2848 South Union
Opelousas, LA 70570
Phone
(337) 942-7567
Fax
(337) 948-4993
NPI assigned
May 26, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X DPM.200012 LA Primary

Addresses

Primary practice location

2848 South Union
Opelousas, LA 70570

Mailing address

P.O. Box 159
Opelousas, LA 70571
Phone (337) 942-7567

Other identifiers 1

IdentifierTypeStateIssuer
1150100MedicaidLA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080909000355 LA Practitioner - Podiatry 8426124801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

185 S Beadle Rd
Suite B2
Lafayette, LA 70508-4287
Phone (337) 234-0384

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue16
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maraist Foot and Ankle Center LLC Podiatrist CurrentSince Jun 29, 2017 Accepting new patients
Southwest Medical Center Surgical Group, LLC Past Accepting new patients

Locations

185 S Beadle Rd
#B2
Lafayette, LA 70508
Phone (337) 234-0384

185 S Beadle Rd
Ste B2
Lafayette, LA 70508
Phone (337) 234-0384

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1211760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1609034800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 159",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "70571",
            "telephone_number": "337-942-7567",
            "fax_number": "337-948-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2848 SOUTH UNION",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "70570",
            "telephone_number": "337-942-7567",
            "fax_number": "337-948-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARAIST",
        "first_name": "DAVID",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-26",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "LA",
            "license": "DPM.200012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1150100",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

Verify at the official NPI Registry.