Individual provider Active NPI

Carl J Richard, M.D.

  • Family Medicine Physician
  • Kaplan, LA
National Provider Identifier
1619027232
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
012524 Issued in LA
Practice address
204 Jackson Ave
Kaplan, LA 70548-3920
Phone
(337) 643-8583
Fax
(337) 673-2874
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 012524 LA Primary

Addresses

Primary practice location

204 Jackson Ave
Kaplan, LA 70548-3920

Mailing address

1305 Crowley Rayne Hwy
Crowley, LA 70526-8202
Phone (337) 788-6407

Other identifiers 1

IdentifierTypeStateIssuer
1151351MedicaidLA

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
I20100913000303 LA Practitioner - Family Practice 9234254483 Practice locations: Kaplan, LA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

202 N Jackson Ave
Kaplan, LA 70548-3920

204 N Jackson Ave
Kaplan, LA 70548-3920
Phone (337) 643-8583

Hospital & facility affiliations

  • Lamm Family Care Home Health Home health agency, Crowley, LA, CCN 197274
  • Acadian Homecare, LLC Home health agency, Lafayette, LA, CCN 197060
  • Abrom Kaplan Memorial Hospital Hospital, Kaplan, LA, CCN 191322
  • Acadia General Hospital Hospital, Crowley, LA, CCN 190044
  • Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions12
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
012524LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Legion Hospital Past Accepting new patients
Carl J Richard, M.D. PastSince Oct 1, 2015 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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1619027232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 CROWLEY RAYNE HWY",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705268202",
            "telephone_number": "337-788-6407",
            "fax_number": "337-788-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 JACKSON AVE",
            "city": "KAPLAN",
            "state": "LA",
            "postal_code": "705483920",
            "telephone_number": "337-643-8583",
            "fax_number": "337-673-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "CARL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "012524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1151351",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaplan, LA

Sources for this page

Verify at the official NPI Registry.