Active NPI
George A. Mampilly, MD
- Anesthesiology Physician
- Lafayette, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 11245R
- Practice address
- 1214 Coolidge Blvd
Lafayette, LA 70503-2621 - Phone
- (337) 261-5151
- NPI assigned
- Oct 4, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 11245R | LA | Primary |
Addresses
Primary practice location
1214 Coolidge Blvd
Lafayette, LA 70503-2621
Mailing address
PO Box 53847
Lafayette, LA 70505-3847
Phone (337) 261-5151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1666424 | Medicaid | LA |
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
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 Medical Ctr Blvd
Marrero, LA 70072-3147
Phone 8662148600203
1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7991
Hospital & facility affiliations
- Ochsner Lafayette General Medical Center
- Touro Infirmary
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11245R | LA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lafayette Health Ventures Inc | Current | Accepting new patients | |
| Lafayette Health Ventures Inc. | Anesthesiology | Current | Accepting new patients |
| Lafayette Health Ventures Inc | Anesthesiology | Current | Accepting new patients |
| Childrens Hospital Anesthesia Corporation | Anesthesiology | Current | Accepting new patients |
| Youngs Professional Services LLC | Current | Accepting new patients | |
| Lafayette Health Ventures, Inc | Past | Accepting new patients | |
| DRS Burleigh, Dupleix and Rees | Anesthesiology | Past | Accepting new patients |
Locations
210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178
1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222
2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000
1211 Coolidge Blvd
Ste 302
Lafayette, LA 70503
Phone (337) 289-8245
1211 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191
4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201
1000 W Pinhook Rd
Ste 305
Lafayette, LA 70503
Phone (337) 235-1600
1000 W Pinhook Rd
Lafayette, LA 70503
Phone (337) 289-7311
1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191
1211 Coolidge Blvd
#302
Lafayette, LA 70503
Phone (337) 289-8245
2810 Ambassador Caffery Pkwy
Lafayette, LA 70506
Phone (337) 593-5423
1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511
1100 Andre St
Ste 300
New Iberia, LA 70563
Phone (337) 364-9225
2309 E Main St
Ste 300
New Iberia, LA 70560
Phone (337) 560-1801
200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860
Interoperability endpoints
- gmampilly1443564@direct.ochsner.org
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- New Orleans, LA
- NPI 1649362740
-
- Family Medicine Physician
- Lafayette, LA
- NPI 1417986092
-
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
-
- Anesthesiology Physician
- Jennings, LA
- NPI 1063124568
-
- Internal Medicine Physician
- Lafayette, LA
- NPI 1831780394
Anesthesiology
-
- Anesthesiology Physician
- Lafayette, LA
- NPI 1659368694
-
- Internal Medicine Physician
- Lafayette, LA
- NPI 1467687186
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1275536799
-
- Rehabilitation Hospital Unit
- New Orleans, LA
- NPI 1588817878
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1821098286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205107200000",
"number": "1619964657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 53847",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705053847",
"telephone_number": "337-261-5151"
},
{
"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": "337-261-5151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAMPILLY",
"first_name": "GEORGE",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2008-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "LA",
"license": "11245R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1666424",
"state": "LA"
}
],
"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 Mar 10, 2008; 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.