Individual provider Active NPI

Mario L. Cardinale, MD

  • Obstetrics & Gynecology Physician
  • Lafayette, LA
National Provider Identifier
1639512437
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
305068 Issued in LA
Practice address
4640 Ambassador Caffery Pkwy
Lafayette, LA 70508-6902
Phone
(337) 984-1050
Fax
(337) 984-8776
NPI assigned
Apr 10, 2013
Last updated
Feb 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Obstetrics & Gynecology Physician 207V00000X 305068 LA Primary

Addresses

Primary practice location

4640 Ambassador Caffery Pkwy
Lafayette, LA 70508-6902

Mailing address

4640 Ambassador Caffery Pkwy Dept of
Lafayette, LA 70508-6902
Phone (337) 984-1050

Other practice location 1

4600 Ambassador Caffery Pkwy
Lafayette, LA 70508-6902
Phone (337) 521-9100

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
I20170727002136 LA Practitioner - Obstetrics/Gynecology 7012213663 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in Shreveport, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acadiana Women's Health Group, ApmcGroup PAC ID 1658349568, 12 clinicians

Practice addresses (Care Compare)

4640 Ambassador Caffery Pkwy
Lafayette, LA 70508-6902
Phone (337) 984-1050

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lourdes Physician Group LLC CurrentSince Apr 2, 2021 Accepting new patients
Acadiana Women's Health Group, Apmc Obstetrics & Gynecology CurrentSince Aug 1, 2017 Accepting new patients
Apex Prevention, LLC PastSince Aug 1, 2017 Accepting new patients
Our Lady of Lourdes Regional Medical Center, Inc Past Accepting new patients

Locations

4600 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 371-3135

4640 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (318) 984-1050

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-2000

Interoperability endpoints

  • Direct secure messaging: mcardinale1454376@direct.ochsner.org

Organizations & group practices 4

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 2

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": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1639512437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 AMBASSADOR CAFFERY PKWY DEPT OF",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086902",
            "telephone_number": "337-984-1050",
            "fax_number": "337-984-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 AMBASSADOR CAFFERY PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086902",
            "telephone_number": "337-984-1050",
            "fax_number": "337-984-8776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 Ambassador Caffery Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705086902",
            "country_code": "US",
            "telephone_number": "337-521-9100",
            "fax_number": "337-470-2019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDINALE",
        "first_name": "MARIO",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-10",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "305068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.