Individual provider Active NPI

Irfan Alam

  • Gastroenterology Physician
  • Lafayette, LA
National Provider Identifier
1770501447
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD 11659R Issued in LA
Practice address
4212 W Congress St
Suite 2400E
Lafayette, LA 70506-6765
Phone
(337) 984-4350
Fax
(337) 984-4351
NPI assigned
Jul 18, 2006
Last updated
Dec 19, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD 11659R LA Primary

Addresses

Primary practice location

4212 W Congress St
Suite 2400E
Lafayette, LA 70506-6765

Mailing address

4212 W Congress St
Suite 2400E
Lafayette, LA 70506-6765
Phone (337) 984-4350

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
I20041011000364 LA Practitioner - GastroenterologyPractitioner - Internal Medicine 8628037009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4212 W Congress St
Suite 2400E
Lafayette, LA 70506-6768
Phone (337) 984-4350

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy36
Upper gastrointestinal (GI) endoscopy for acid reflux79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 11659RLAMDGastroenterology Physician
11659RLAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Center of Louisiana, Inc. Gastroenterology CurrentSince Jul 14, 2008 Accepting new patients
Hospital Service District No. 2 Past Accepting new patients

Locations

4212 W Congress St
Ste 2400E
Lafayette, LA 70506
Phone (337) 984-4350

Organizations & group practices 2

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387411200000",
    "number": "1770501447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 W CONGRESS ST",
            "address_2": "SUITE 2400E",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066765",
            "telephone_number": "337-984-4350",
            "fax_number": "337-984-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 W CONGRESS ST",
            "address_2": "SUITE 2400E",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066765",
            "telephone_number": "337-984-4350",
            "fax_number": "337-984-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAM",
        "first_name": "IRFAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2013-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "LA",
            "license": "MD 11659R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.