Individual provider Active NPI

Carol Pratt Becker, MD

  • Diagnostic Radiology Physician
  • Opelousas, LA
National Provider Identifier
1639192578
Registry record updated Jul 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD.019009 Issued in LA
Practice address
539 E Prudhomme St
Opelousas, LA 70570-6499
Phone
(337) 942-6883
Fax
(337) 942-6883
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD.019009 LA Primary
Body Imaging Physician 2085B0100X J7427 TX

Addresses

Primary practice location

539 E Prudhomme St
Opelousas, LA 70570-6499

Mailing address

21 Versailles Blvd
New Orleans, LA 70125-4113
Phone (504) 866-4115

Other identifiers 1

IdentifierTypeStateIssuer
1961205MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090424000019 LA Practitioner - Diagnostic Radiology 8022166305 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19009LAMDSocial Worker
J7427TXMDBody Imaging Physician
MD.019009LAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pontchartrain Diagnostic Imaging LLC Diagnostic Radiology CurrentSince Feb 1, 2023 Accepting new patients
Administrators of the Tulane Education Fund CurrentSince Oct 15, 2022 Accepting new patients
Administrators of the Tulane Educational Fund Current Accepting new patients
Doctors Imaging Services, LLC Diagnostic Radiology CurrentSince Mar 1, 2022 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Oct 15, 2022 Accepting new patients
Radiology & Interventional Associates of Metairie LLC Diagnostic Radiology Past Accepting new patients
Tulane University Medical Group Past Accepting new patients

Locations

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

4720 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-4583

4228 Houma Blvd
Ste 200
Metairie, LA 70006
Phone (504) 454-7878

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

4204 Teuton St
Metairie, LA 70006
Phone (504) 455-6310

4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453

4241 Vets Blvd
Ste 200
Metairie, LA 70006

4241 Veterans Memorial Blvd
Ste 201
Metairie, LA 70006

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1415 Tulane Ave
Fl 2
New Orleans, LA 70112
Phone (504) 988-1200

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

2021 Perdido St
New Orleans, LA 70112
Phone (504) 412-1800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCFJBA

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593734400000",
    "number": "1639192578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 VERSAILLES BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701254113",
            "telephone_number": "504-866-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 E PRUDHOMME ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706499",
            "telephone_number": "337-942-6883",
            "fax_number": "337-942-6883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "CAROL",
        "middle_name": "PRATT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "MD.019009",
            "primary": true
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "TX",
            "license": "J7427",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1961205",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

Verify at the official NPI Registry.