Individual provider Active NPI

Mia A Singleton-Ben, M.D.

  • Specialist
  • Opelousas, LA
National Provider Identifier
1619040342
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
022773 Issued in LA
Practice address
920 N. Main St.
Opelousas, LA 70570
Phone
(337) 407-8697
Fax
(337) 407-9096
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 6

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.

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
I20141118000846 LA Practitioner - Emergency Medicine 4385813195 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
022773LAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Coolidge Emergency Group LLC CurrentSince Jul 15, 2014 Accepting new patients
All Kids Pediatrics of Opelousas Current Accepting new patients
Lafayette General Medical Center Inc Past Accepting new patients
Southwest Louisiana Primary Health Care Center Inc Past Accepting new patients
Our Lady of Lourdes Regional Medical Center, Inc Past Accepting new patients
Southwest Louisiana Primary Health Care Center, Inc Past Accepting new patients

Locations

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

910 N Main St
Opelousas, LA 70570
Phone (337) 407-8697

Interoperability endpoints

  • Direct secure messaging: msingletonben1443632@direct.ochsner.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 022773 LA Primary

Addresses

NPPES NPI Registry

Primary practice location

920 N. Main St.
Opelousas, LA 70570

Mailing address

PO Box 2147
Opelousas, LA 70571-2147
Phone (337) 407-8697

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
1449482MedicaidLA
721467200OtherLATAX ID #

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 30, 2011.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301443200000",
    "number": "1619040342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705712147",
            "telephone_number": "337-407-8697",
            "fax_number": "337-407-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 N. MAIN ST.",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "70570",
            "telephone_number": "337-407-8697",
            "fax_number": "337-407-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGLETON-BEN",
        "first_name": "MIA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2011-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "022773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1449482",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "721467200",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

Verify at the official NPI Registry.