NPIMap

Individual provider Active NPI

David Joseph Landry, M.D.

  • Family Medicine Physician
  • Lake Charles, LA
National Provider Identifier
1811281314
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.207034 Issued in LA
Practice address
4200 Nelson Rd
Lake Charles, LA 70605-4118
Phone
(337) 475-4748
Fax
(337) 944-4421
NPI assigned
Jun 2, 2011
Last updated
Jun 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X GETP.200854 LA
Family Medicine Physician 207Q00000X MD.207034 LA Primary
Hospitalist Physician 208M00000X MD.207034 LA

Addresses

Primary practice location

4200 Nelson Rd
Lake Charles, LA 70605-4118

Mailing address

5000 Lake St Unit 7579
Lake Charles, LA 70606-5348
Phone (337) 302-4239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130411000282 LA Practitioner - HospitalistPractitioner - Family Practice 4385880616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KNDL PartnersGroup PAC ID 0547664617, 2 clinicians

Practice addresses (Care Compare)

4200 Nelson Rd
Lake Charles, LA 70605-4118
Phone (337) 474-6370

524 Doctor Michael Debakey Dr
Lake Charles, LA 70601-5725
Phone (337) 436-2511

524 Dr Michael Debakey Dr
FL 3
Lake Charles, LA 70601-5725
Phone (337) 310-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
25 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
83.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.207034LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KNDL Partners Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Christus Health Southwestern Louisiana Past Accepting new patients
CHG Hospital Sulphur, LLC Past Accepting new patients

Locations

3730 Nelson Rd
Lake Charles, LA 70605
Phone (337) 513-0817

4200 Nelson Rd
Lake Charles, LA 70605
Phone (318) 474-6370

5000 Lake St
Unit 7579
Lake Charles, LA 70606

524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455

Organizations & group practices 3

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 10

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": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1811281314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 LAKE ST UNIT 7579",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706065348",
            "telephone_number": "337-302-4239",
            "fax_number": "337-944-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 NELSON RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054118",
            "telephone_number": "337-475-4748",
            "fax_number": "337-944-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "DAVID",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-02",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "GETP.200854",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.207034",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "LA",
            "license": "MD.207034",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.