Organization Active NPI

Acadiana Maternal Fetal Medicine Consulting Apmc

  • Maternal & Fetal Medicine Physician
  • Lafayette, LA
National Provider Identifier
1760051049
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
Legal business name
ACADIANA MATERNAL FETAL MEDICINE CONSULTING APMC
Practice address
105 Patriot St Ste 203
Lafayette, LA 70508-6831
Phone
(337) 989-9826
Fax
(337) 989-9829
NPI assigned
Jun 22, 2021
Last updated
Apr 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Authorized official

Name
Sheryl Rodts-Palenik, MDNPI 1528048642
Title
Owner
Phone
(337) 989-9826

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X Primary

Addresses

Primary practice location

105 Patriot St Ste 203
Lafayette, LA 70508-6831

Mailing address

105 Patriot St Ste 203
Lafayette, LA 70508-6831
Phone (337) 989-9826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220113001768 LA Part B Supplier - Clinic/Group Practice 8224420773 Receives reassigned benefits from 2 practitioners
Practice locations: Lafayette, LA; Alexandria, LA

National Provider Directory

National Provider Directory

Locations

211 4th St
Ste 4C
Alexandria, LA 71301
Phone (318) 769-7641

3330 Masonic Dr
Ste 4003
Alexandria, LA 71301
Phone (318) 448-3892

105 Patriot St
Ste 203
Lafayette, LA 70508
Phone (337) 989-9826

4630 Ambassador Caffery Pkwy
Ste 204
Lafayette, LA 70508
Phone (337) 989-9826

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1760051049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PATRIOT ST STE 203",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086831",
            "telephone_number": "337-989-9826",
            "fax_number": "337-989-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PATRIOT ST STE 203",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086831",
            "telephone_number": "337-989-9826",
            "fax_number": "337-989-9829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIANA MATERNAL FETAL MEDICINE CONSULTING APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "RODTS-PALENIK",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-989-9826",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.