Individual provider Active NPI

Damon T Cudihy, MD

  • Obstetrics & Gynecology Physician
  • Lafayette, LA
National Provider Identifier
1720078520
Registry record updated Jul 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD206213 Issued in LA
Practice address
1211 Coolidge Blvd
Suite 403
Lafayette, LA 70503-2636
Phone
(337) 261-5433
Fax
(337) 269-9652
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD436149 PA
Obstetrics & Gynecology Physician 207V00000X 055817 GA
Obstetrics & Gynecology Physician 207V00000X MD206213 LA Primary

Addresses

Primary practice location

1211 Coolidge Blvd
Suite 403
Lafayette, LA 70503-2636

Mailing address

155 Hospital Dr
Suite 302
Lafayette, LA 70503-2636
Phone (337) 261-5433

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
I20131106000170 LA Practitioner - Obstetrics/Gynecology 4981759461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Florida College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Damon T Cudihy MD LLCGroup PAC ID 9931334638, 2 clinicians

Practice addresses (Care Compare)

715 Coolidge St
Suite a
Lafayette, LA 70503-2309
Phone (337) 261-5433

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
055817GAMDObstetrics & Gynecology Physician
MD206213LAMDObstetrics & Gynecology Physician
MD436149PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Damon T Cudihy MD LLC CurrentSince Aug 5, 2013 Accepting new patients
Lafayette General Medical Center Inc Past Accepting new patients
Spirit Physician Services Inc. Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1211 Coolidge Blvd
Ste 403
Lafayette, LA 70503
Phone (337) 261-5433

715 Coolidge St
Ste A
Lafayette, LA 70503
Phone (337) 261-5433

155 Hospital Dr
Ste 302
Lafayette, LA 70503
Phone (337) 261-5433

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 and National Provider Directory roles.

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500336000000",
    "number": "1720078520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 HOSPITAL DR",
            "address_2": "SUITE 302",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032636",
            "telephone_number": "337-261-5433",
            "fax_number": "337-269-9652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 COOLIDGE BLVD",
            "address_2": "SUITE 403",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032636",
            "telephone_number": "337-261-5433",
            "fax_number": "337-269-9652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUDIHY",
        "first_name": "DAMON",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2017-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD436149",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "055817",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "MD206213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.