Active NPI
Mia A Singleton-Ben, M.D.
- Specialist
- Opelousas, LA
National Provider Identifier
1619040342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 022773
- 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.
-
- Primary Care Clinic/Center
- Opelousas, LA
- NPI 1255540506
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1275536799
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1598766495
-
- Federally Qualified Health Center (FQHC)
- Lafayette, LA
- NPI 1609120682
-
- Federally Qualified Health Center (FQHC)
- Opelousas, LA
- NPI 1508213000
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 022773 | LA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coolidge Emergency Group LLC | Current | 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
- msingletonben1443632@direct.ochsner.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 022773 | LA | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1449482 | Medicaid | LA | |
| 721467200 | Other | LA | TAX 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.