Individual provider Active NPI

George A Sobiesk, D.P.M.

  • Podiatrist
  • Lafayette, LA
National Provider Identifier
1659378453
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PD186R Issued in LA
Practice address
4809 Ambassador Caffery Pkwy
Suite 200
Lafayette, LA 70508-6917
Phone
(337) 988-8860
Fax
(337) 988-8761
NPI assigned
Jul 7, 2005
Last updated
Aug 6, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PD186R LA Primary

Addresses

Primary practice location

4809 Ambassador Caffery Pkwy
Suite 200
Lafayette, LA 70508-6917

Mailing address

4809 Ambassador Caffery Pkwy
Suite 200
Lafayette, LA 70508-6917
Phone (337) 988-8860

Other identifiers 2

IdentifierTypeStateIssuer
1694797MedicaidLA
480035158OtherLAPALMETTO GBA - RAILROAD M

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100315000112 LA Practitioner - Podiatry 5092804914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamilton Medical Group ApcGroup PAC ID 5698768455, 4 clinicians

Practice addresses (Care Compare)

200 A Energy Pkwy
Lafayette, LA 70508-3816
Phone (337) 988-8888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.42 of 100Reported as individual
Quality
85.05
Improvement activities
40
Cost
77.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue36
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PD186RLAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Medical Group, Apc CurrentSince Jan 1, 2003 Accepting new patients
Lafayette Surgery Center Limited Partnership PastSince Apr 30, 2003 Accepting new patients

Locations

200 Energy Pkwy
#A
Lafayette, LA 70508
Phone (337) 988-8888

4212 W Congress St
Lafayette, LA 70506
Phone (337) 216-9018

4212 W Congress St
Ste 1430
Lafayette, LA 70506
Phone (337) 984-2444

4212 W Congress St
Ste 1430B
Lafayette, LA 70506
Phone (318) 993-0600

4809 Ambassador Caffery Pkwy
Ste 200
Lafayette, LA 70508
Phone (337) 988-8801

Organizations & group practices 2

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344211200000",
    "number": "1659378453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 AMBASSADOR CAFFERY PKWY",
            "address_2": "SUITE 200",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086917",
            "telephone_number": "337-988-8860",
            "fax_number": "337-988-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 AMBASSADOR CAFFERY PKWY",
            "address_2": "SUITE 200",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086917",
            "telephone_number": "337-988-8860",
            "fax_number": "337-988-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBIESK",
        "first_name": "GEORGE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2012-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "LA",
            "license": "PD186R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1694797",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA - RAILROAD M",
            "identifier": "480035158",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.