Individual provider Active NPI

Katie A Dennis, M.D.

  • Internal Medicine Physician
  • Lafayette, LA
National Provider Identifier
1720474273
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
304171 Issued in LA
Practice address
206 Energy Parkway
Lafayette, LA 70508-3816
Phone
(337) 504-3335
Fax
(337) 504-4795
NPI assigned
Apr 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X INTERN PERMIT PENDIN LA
Internal Medicine Physician 207R00000X 304171 LA Primary

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 identifiers 1

IdentifierTypeStateIssuer
2389491MedicaidLA

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
I20180717002196 LA Practitioner - Internal Medicine 7618274242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lafayette Internal Medicine Clinic LLCGroup PAC ID 3476740515, 11 clinicians

Practice addresses (Care Compare)

206 Energy Pkwy
Lafayette, LA 70508-3816
Phone (337) 504-3335

Hospital & facility affiliations

  • Lourdes Home Health Home health agency, Lafayette, LA, CCN 197057
  • Nursing Specialties Home health agency, Lafayette, LA, CCN 197297
  • First Option Home Health Home health agency, Lafayette, LA, CCN 197454
  • Our Lady of Lourdes Regional Medical Center, Inc Hospital, Lafayette, LA, CCN 190102
  • Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002
  • Iberia Medical Center Hospital, New Iberia, LA, CCN 190054
  • Opelousas General Health System Hospital, Opelousas, LA, CCN 190017
  • Acadia General Hospital Hospital, Crowley, LA, CCN 190044

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
INTERN PERMIT PENDINLAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Internal Medicine Clinic LLC Internal Medicine CurrentSince Jun 1, 2019 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

Organizations & group practices 1

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 9

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": "1428710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1720474273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 ENERGY PARKWAY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083816",
            "telephone_number": "337-504-3335",
            "fax_number": "337-504-4795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 ENERGY PARKWAY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083816",
            "telephone_number": "337-504-3335",
            "fax_number": "337-504-4795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "KATIE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-11",
        "last_updated": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "INTERN PERMIT PENDIN",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "304171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2389491",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.