Aaron Ackley, M.D.
Individual provider Active NPI Internal Medicine Physician · Lafayette, LA
NPI 1699209015 · NPPES record last updated Feb 14, 2024
Key facts
- NPI
- 1699209015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 322315 (LA)
- Practice address
- 206 Energy Parkway
Lafayette, LA 70508-3816 - Phone
- (337) 504-3335
- Fax
- (337) 504-4795
- NPI assigned
- Apr 12, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Louisiana State University School of Medicine in New Orleans, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lafayette Internal Medicine Clinic LLC
Practice addresses (Care Compare)
206 Energy Pkwy
Lafayette, LA 70508-3816
Phone (337) 504-3335
Hospital & facility affiliations
- Vitalcaring Group
- Lourdes Home Health
- Nursing Specialties
- Our Lady of Lourdes Regional Medical Center, Inc
- Ochsner Lafayette General Medical Center
- Abbeville General Hospital
- Iberia Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200618001454 | LA | Practitioner - Internal Medicine | 3274804612 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lafayette Internal Medicine Clinic LLC | Internal Medicine | Current |
Accepting new patients |
Locations
206 Energy Pkwy
Lafayette, LA 70508
Phone (337) 504-3335
4809 Ambassador Caffery Pkwy
Ste 410
Lafayette, LA 70508
Phone (337) 470-3109
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 322315 | LA | Yes |
Addresses
Primary practice location
206 Energy Parkway
Lafayette, LA 70508-3816
Mailing address
206 Energy Parkway
Lafayette, LA 70508-3816
Phone (337) 504-3335
Other practice location 1
5246 Brittany Dr
Baton Rouge, LA 70808-9136
Phone (225) 757-4070
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2444867 | Medicaid | LA |
Other providers in Lafayette, LA
- Aci Hearing and Balance Center, Inc.
- Robin Ackal
- Todd C. Ackal
- Madison Claire Ackel
- Megan Lacour Ackerman
- Allen Douglas Acomb III
- Quinn Catherine Acosta
- Stefanie Salaveria Acosta
- Kathy S Acree
- Acts of Care LLC
All providers in Lafayette, LA · Internal Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.