Active NPI
Mina Sourial, M.D.
- Nephrology Physician
- Lafayette, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 323438
- Practice address
- 1214 Coolidge Blvd
Lafayette, LA 70503-2621 - Phone
- (845) 729-4722
- NPI assigned
- Jul 17, 2015
- Last updated
- Dec 12, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | A179351 | CA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 323438 | LA | |
| Nephrology Physician | 207RN0300X | A179351 | CA | |
| Nephrology Physician | 207RN0300X | 323438 | LA | Primary |
Addresses
Primary practice location
1214 Coolidge Blvd
Lafayette, LA 70503-2621
Mailing address
1214 Coolidge St
Lafayette, LA 70503
Phone (845) 729-4722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 W Mineral King Ave
Visalia, CA 93291-6237
Phone (559) 624-2000
5000 Ambassador Caffery Pkwy
Lafayett, LA 70508-6984
Phone (337) 534-4444
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A179351 | CA | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lafayette Health Ventures Inc | Multi-Specialty | Current | Accepting new patients |
| University Hospital and Clinics, Inc. | Current | Accepting new patients | |
| Central Valley Critical Care Medicine - a Professional Corporat | Multi-Specialty | Current | Accepting new patients |
| St. Martin Hospital, Inc. | Multi-Specialty | Current | Accepting new patients |
| St. Martin Hospital, Inc. | Current | Accepting new patients | |
| Lafayette Health Ventures Inc | Multi-Specialty | Current | Accepting new patients |
| Lafayette Health Ventures, Inc | Multi-Specialty | Current | Accepting new patients |
| University Hospital & Clinics, Inc. | Multi-Specialty | Current | Accepting new patients |
| University Hospital & Clinics Inc | Current | Accepting new patients |
Locations
420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647
115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550
465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886
869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800
400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001
5211 W Goshen Ave
Visalia, CA 93291
Phone (559) 242-6860
210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178
1634 Elton Rd
Jennings, LA 70546
Phone (337) 616-7000
1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191
2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000
4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201
5000 Ambassador Caffery Pkwy
Ste 100
Lafayette, LA 70508
Phone (318) 201-8801
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba dba Family Health Plaza
- Family Medicine Physician
- Lafayette, LA
- NPI 1417986092
Multi-Specialty
-
- Critical Care Medicine (Internal Medicine) Physician
- Hanford, CA
- NPI 1366829640
Multi-Specialty
-
dba St. Martin Hospital
- Cardiovascular Disease Physician
- Breaux Bridge, LA
- NPI 1407175615
Multi-Specialty
-
- Anesthesiology Physician
- Lafayette, LA
- NPI 1639518087
Multi-Specialty
-
dba Jennings American Legion Hospital Physician Group
- Anesthesiology Physician
- Jennings, LA
- NPI 1063124568
Multi-Specialty
-
- Internal Medicine Physician
- Lafayette, LA
- NPI 1467687186
Multi-Specialty
-
- Rural Health Clinic/Center
- Breaux Bridge, LA
- NPI 1407414816
-
dba University Hospital & Clinics OutPatient Pharmacy
- Community/Retail Pharmacy
- Lafayette, LA
- NPI 1740739044
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1275536799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765497600000",
"number": "1619351780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1214 COOLIDGE ST",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "70503",
"telephone_number": "845-729-4722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 COOLIDGE BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032621",
"telephone_number": "845-729-4722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOURIAL",
"first_name": "MINA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-17",
"last_updated": "2025-12-12",
"certification_date": "2025-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "A179351",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "LA",
"license": "323438",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "A179351",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "LA",
"license": "323438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.