Individual provider Active NPI

David E Allie, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lafayette, LA
National Provider Identifier
1760489728
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
07649R Issued in LA
Practice address
901 Wilson St Ste C
Lafayette, LA 70503-2439
Phone
(337) 456-6523
Fax
(337) 456-6521
NPI assigned
Jul 6, 2005
Last updated
Feb 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 07649R LA Primary

Addresses

Primary practice location

901 Wilson St Ste C
Lafayette, LA 70503-2439

Mailing address

PO Box 70
Milton, LA 70558
Phone (337) 456-6523

Other identifiers 2

IdentifierTypeStateIssuer
330004199OtherLARR MEDICARE
1376060MedicaidLA

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
I20040608000592 LA Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 0244213635 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: Thoracic Surgery
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisiana Vascular Limb Salvage and Cardiology ApmcGroup PAC ID 5799123618, 4 clinicians

Practice addresses (Care Compare)

901 Wilson St
Suite C
Lafayette, LA 70503-2439
Phone (337) 456-6523

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal43
Removal of tissue88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
07649RLAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CLHG-Avoyelles LLC CurrentSince Mar 1, 2021 Accepting new patients
Louisiana Vascular Limb Salvage and Cardiology Apmc CurrentSince Mar 1, 2024 Accepting new patients
CLHG-Avoyelles LLC Current Accepting new patients
CLHG-Avoyelles LLC CurrentSince Mar 1, 2021 Accepting new patients
Louisiana Cardiovascular and Limb Salvage Center, Apmc Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Apr 30, 2003 Accepting new patients
Southpark Surgery Center, LLC CurrentSince Oct 30, 2023 Accepting new patients
Acadian Physician Practices LLC Past Accepting new patients
Cardiovascular Institute of the South, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

151 Hill St
Ste 1
Eunice, LA 70535
Phone (337) 457-8061

2730 Ambassador Caffery Pkwy
Lafayette, LA 70506
Phone (337) 369-9213

4811 Ambassador Caffery Pkwy
Ste 401A
Lafayette, LA 70508
Phone (337) 470-3040

901 Wilson St
Lafayette, LA 70503
Phone (337) 237-8119

901 Wilson St
Ste A
Lafayette, LA 70503
Phone (337) 534-0608

901 Wilson St
Ste B
Lafayette, LA 70503
Phone (337) 274-6549

901 Wilson St
Ste C
Lafayette, LA 70503
Phone (337) 372-2400

901 Wilson St
Ste D
Lafayette, LA 70503
Phone (337) 889-5726

4239 Highway 1192
Ste 300
Marksville, LA 71351
Phone (318) 253-0677

5541 Highway 1
Marksville, LA 71351
Phone (318) 240-7240

166 Oak Tree Park Dr
#A
Sunset, LA 70584
Phone (337) 886-5560

5224 75th St
Ste D
Lubbock, TX 79424
Phone (806) 791-0042

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1760489728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "MILTON",
            "state": "LA",
            "postal_code": "70558",
            "telephone_number": "337-456-6523",
            "fax_number": "337-456-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WILSON ST STE C",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032439",
            "telephone_number": "337-456-6523",
            "fax_number": "337-456-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLIE",
        "first_name": "DAVID",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-06",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "LA",
            "license": "07649R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "330004199",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376060",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.