Individual provider Active NPI

George A. Mampilly, MD

  • Anesthesiology Physician
  • Lafayette, LA
National Provider Identifier
1619964657
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
11245R Issued in LA
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

Updated by the provider on Mar 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1666424MedicaidLA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060303000483 LA Practitioner - AnesthesiologyPractitioner - Pain Management 0840257523 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Childrens Hospital Anesthesia CorporationGroup PAC ID 0446152862, 281 clinicians
Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians

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 Hospital, Lafayette, LA, CCN 190002
  • Touro Infirmary Hospital, New Orleans, LA, CCN 190046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11245RLAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Health Ventures Inc Current Accepting new patients
Lafayette Health Ventures Inc. Anesthesiology CurrentSince Apr 1, 2021 Accepting new patients
Lafayette Health Ventures Inc Anesthesiology CurrentSince Apr 1, 2021 Accepting new patients
Childrens Hospital Anesthesia Corporation Anesthesiology CurrentSince Jul 24, 2023 Accepting new patients
Youngs Professional Services LLC CurrentSince Dec 1, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.