Nephrology Center of Excellence LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

NEPHROLOGY CENTER OF EXCELLENCE LLC

Doing business as

Nephrology Center of Excellence

Practice address

1620 Commerce Blvd Ste C
Opelousas, LA 70570-2066

Phone

(337) 594-0675

Fax

(781) 464-2551

NPI assigned

Aug 17, 2017

Last updated

Mar 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chad W Rossitter, MDNPI 1386961308

Title

President

Phone

(337) 594-0675

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nephrology Center of Excellence Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chad Wesley Rossitter, M.D.

  • Nephrology Physician
  • Opelousas, LA
  • NPI 1386961308

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Justin Timothy Lege, NP

  • Nurse Practitioner
  • Opelousas, LA
  • NPI 1164810164
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1619493095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 COMMERCE BLVD STE C",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705702066",
            "telephone_number": "337-594-0675",
            "fax_number": "781-464-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 COMMERCE BLVD STE C",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705702066",
            "telephone_number": "337-594-0675",
            "fax_number": "781-464-2551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1340 Surrey St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705017647",
            "country_code": "US",
            "telephone_number": "337-594-0675",
            "fax_number": "781-464-2551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEPHROLOGY CENTER OF EXCELLENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "ROSSITTER",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-594-0675",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2460439",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nephrology Center of Excellence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hannah B Neal, CRNA
• Lance Ned
• Annetta Nelson, RD
• Mark George Nelson, PAC
• Wesley Nelson
• Charles Nevills
• Stacey P Nevills
• New Beginnings Addiction Recovery
• New Beginnings Care, Inc.
• Delvin Nguyen-Ho

• Nephrology Physician in Opelousas, LA
• Providers in Opelousas, LA by specialty
• Nephrology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.