Paul Bradley Rachal, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

017327 Issued in LA

Practice address

310 Durel Dr
New Roads, LA 70760-2973

Phone

(225) 713-2400

Fax

(225) 713-2410

NPI assigned

Jul 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 2

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

Specialty

Family Practice

Education

Louisiana State University School of Medicine in New Orleans, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Our Lady of the Lake Physician Group LLCGroup PAC ID 4587849781, 637 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pointe Coupee Homebound Health Home health agency, New Roads, LA, CCN 197154
• Pointe Coupee Hospice Hospice, New Roads, LA, CCN 191564
• Pointe Coupee General Hospital Hospital, New Roads, LA, CCN 191316
• Our Lady of the Lake Regional Medical Center Hospital, Baton Rouge, LA, CCN 190064

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Hospital Service District No. 1 of Pointe Coupee, Louisiana, Inc.

  • Home Health Agency
  • New Roads, LA
  • NPI 1578566261

  Contracted Managing Employee

  CMS ownership

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.

• Our Lady of the Lake Physician Group LLC

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1033494943

  Family Medicine, LA

  Medicare reassignment Care Compare group NPD
• Our Lady of the Lake Physician Group, LLC

  • Rural Health Clinic/Center
  • Maurepas, LA
  • NPI 1134152630
  Care Compare group
• Our Lady of the Lake Physician Group LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Baton Rouge, LA
  • NPI 1235912502
  NPD
• Our Lady of the Lake Hospital Inc

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1275577603

  Family Medicine

  NPD (past)
• Our Lady of the Lake Physician Group LLC

  • Hematology & Oncology Physician
  • Baton Rouge, LA
  • NPI 1184671455
  NPD (past)
• Our Lady of the Lake Physician Group LLC

  • Family Medicine Physician
  • New Roads, LA
  • NPI 1447399308

  Family Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital Service District No. 1 of Pointe Coupee, Louisiana, Inc

  • Community Based Hospice Care Agency
  • New Roads, LA
  • NPI 1467455006

  Hospice

  Care Compare affiliation
• Hospital Service District No. 1 of Pointe Coupee, Louisiana, Inc.

  • Home Health Agency
  • New Roads, LA
  • NPI 1578566261
  Care Compare affiliation
• Our Lady of the Lake Hospital Inc.

  • General Acute Care Hospital
  • Baton Rouge, LA
  • NPI 1366436123

  Hospital

  Care Compare affiliation
• Pointe Coupee Parish Health Services District Number One

  • Critical Access Hospital
  • New Roads, LA
  • NPI 1588648315

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1811997141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 DUREL DR",
            "city": "NEW ROADS",
            "state": "LA",
            "postal_code": "707602973",
            "telephone_number": "225-713-2400",
            "fax_number": "225-713-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 DUREL DR",
            "city": "NEW ROADS",
            "state": "LA",
            "postal_code": "707602973",
            "telephone_number": "225-713-2400",
            "fax_number": "225-713-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACHAL",
        "first_name": "PAUL",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "017327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080164516",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1360171",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "prachal2638@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "prachal2638@direct.casso.us.com",
            "address_1": "310 Durel Dr",
            "city": "New Roads",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707602973",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "310 Durel Dr",
            "city": "New Roads",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707602973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pointe Coupee Parish Health Services District Number One
• Pointe Coupee Parish Health Services District Number One
• Pointe Coupee Parish Schools
• Pointe Coupee Parish Schools
• Ashley Territo Pourciau, FNP
• Michael Paul Ramagos, M.D.
• Raymond M Garrett
• Regional Health Services LLC
• Valerie A Richardson, RD
• Ronald John Rodney, LPC

• All providers in New Roads, LA
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.