Individual provider Active NPI

Mina Sourial, M.D.

  • Nephrology Physician
  • Lafayette, LA
National Provider Identifier
1619351780
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
323438 Issued in LA
Practice address
1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone
(845) 729-4722
NPI assigned
Jul 17, 2015
Last updated
Dec 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220916002443 CA Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Nephrology 2769729615 Reassigns benefits to 1 organization
I20250327000507 LA Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - NeurologyPractitioner - Critical Care (Intensivists) 2769729615 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine, Nephrology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians

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

LicenseStateTypeSpecialty
A179351CAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Health Ventures Inc Multi-Specialty CurrentSince Mar 31, 2025 Accepting new patients
University Hospital and Clinics, Inc. CurrentSince Jul 19, 2025 Accepting new patients
Central Valley Critical Care Medicine - a Professional Corporat Multi-Specialty CurrentSince Sep 1, 2022 Accepting new patients
St. Martin Hospital, Inc. Multi-Specialty CurrentSince Oct 31, 2025 Accepting new patients
St. Martin Hospital, Inc. CurrentSince Oct 31, 2025 Accepting new patients
Lafayette Health Ventures Inc Multi-Specialty Current Accepting new patients
Lafayette Health Ventures, Inc Multi-Specialty CurrentSince Mar 31, 2025 Accepting new patients
University Hospital & Clinics, Inc. Multi-Specialty Current Accepting new patients
University Hospital & Clinics Inc CurrentSince Jul 19, 2025 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.