Individual provider Active NPI

Joseph T Gillespie, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Lafayette, LA
National Provider Identifier
1669589164
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
10009R Issued in LA
Practice address
1103 Kaliste Saloom Rd
Suite 202
Lafayette, LA 70508-5783
Phone
(337) 269-6335
Fax
(337) 235-2765
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 10009R LA Primary

Addresses

Primary practice location

1103 Kaliste Saloom Rd
Suite 202
Lafayette, LA 70508-5783

Mailing address

1103 Kaliste Saloom Rd
Suite 202
Lafayette, LA 70508-5783
Phone (337) 269-6335

Other identifiers 1

IdentifierTypeStateIssuer
1979732MedicaidLA

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
I20031211000710 LA Practitioner - Interventional Pain Management 6305742016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Louisiana State University School of Medicine in New Orleans, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conservative Medical Management aGroup PAC ID 6002986973, 2 clinicians

Practice addresses (Care Compare)

1103 Kaliste Saloom Rd
Suite 202
Lafayette, LA 70508-5784
Phone (337) 269-6335

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
32.33 of 100Reported as individual
Quality
20
Improvement activities
0
Cost
70.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10009RLAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conservative Medical Management a Pain Medicine CurrentSince Jun 4, 2008 Accepting new patients
Neurological Associates of Louisiana, L.L.C. Past Accepting new patients

Locations

1103 Kaliste Saloom Rd
Ste 202
Lafayette, LA 70508
Phone (337) 233-2504

501 W Saint Mary Blvd
Ste 110
Lafayette, LA 70506
Phone (337) 233-8887

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1669589164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 KALISTE SALOOM RD",
            "address_2": "SUITE 202",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085783",
            "telephone_number": "337-269-6335",
            "fax_number": "337-235-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 KALISTE SALOOM RD",
            "address_2": "SUITE 202",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085783",
            "telephone_number": "337-269-6335",
            "fax_number": "337-235-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "JOSEPH",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "LA",
            "license": "10009R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1979732",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.