Individual provider Active NPI

Clayton Michael Maraist, M.D.

  • Obstetrics & Gynecology Physician
  • New Iberia, LA
National Provider Identifier
1780976266
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD.207826 Issued in LA
Practice address
2309 E Main St
Suite 200
New Iberia, LA 70560-4046
Phone
(337) 256-8779
Fax
(337) 359-4997
NPI assigned
May 3, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD.207826 LA Primary

Addresses

Primary practice location

2309 E Main St
Suite 200
New Iberia, LA 70560-4046

Mailing address

PO Box 12137
New Iberia, LA 70562-2137
Phone (337) 256-8779

Other identifiers 1

IdentifierTypeStateIssuer
2144235MedicaidLA

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
I20150730011607 LA Practitioner - Obstetrics/Gynecology 2365756632 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in Shreveport, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LCMS Obstetrics and Gynecology LLCGroup PAC ID 9537353123, 8 clinicians
LCMS Rehabilitation Institute of Southwest LouisianaGroup PAC ID 7012061930, 35 clinicians

Practice addresses (Care Compare)

1890 W Gauthier Rd
135 Obstetrics and Gynecology of Soutwe
Lake Charles, LA 70605-7179
Phone (337) 480-5510

2900 2ND Ave
Lake Charles, LA 70601-8906
Phone (337) 480-8175

Hospital & facility affiliations

  • Lake Charles Memorial Hospital Hospital, Lake Charles, LA, CCN 190060

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.207826LAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iberia Medical Center Physician Practice Network CurrentSince Oct 1, 2016 Accepting new patients
Hospital Service District No. 1 of Iberia Parish Current Accepting new patients
LCMS Obstetrics and Gynecology LLC Obstetrics & Gynecology CurrentSince Jul 14, 2025 Accepting new patients
LCMS Rehabilitation Institute of Southwest Louisiana CurrentSince Aug 17, 2025 Accepting new patients
Southwest Louisiana Hospital Association Inc Past Accepting new patients
Iberia Comprehensive Community Health Center,Inc. Past Accepting new patients
Hospital Service District No. 1 of Iberia Parish Past Accepting new patients

Locations

1000 Walters St
Lake Charles, LA 70607
Phone (337) 475-8687

2900 2nd Ave
Lake Charles, LA 70601
Phone (337) 480-8175

1890 W Gauthier Rd
Ste 135
Lake Charles, LA 70605
Phone (337) 480-5510

2313 E Main St
Ste C
New Iberia, LA 70560
Phone (337) 364-1734

2312 E Main St
Ste C
New Iberia, LA 70560
Phone (337) 365-1500

2309 E Main St
Ste 200
New Iberia, LA 70560
Phone (337) 256-8779

Interoperability endpoints

  • Direct secure messaging: cmaraist5339319@direct.casso.us.com
  • FHIR API: https://fhir-usa.unify.chbase.com/org/ibermed-05842f36

Organizations & group practices 7

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 3

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": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1780976266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12137",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705622137",
            "telephone_number": "337-256-8779",
            "fax_number": "337-359-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 E MAIN ST",
            "address_2": "SUITE 200",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604046",
            "telephone_number": "337-256-8779",
            "fax_number": "337-359-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARAIST",
        "first_name": "CLAYTON",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-03",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "MD.207826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2144235",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

Verify at the official NPI Registry.