Organization Active NPI

Ladebe LLC

  • Internal Medicine Physician
  • Lafayette, LA
National Provider Identifier
1821216144
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LADEBE LLC
Practice address
804 Richland Ave
Lafayette, LA 70508-6661
Phone
(337) 291-2455
NPI assigned
Apr 23, 2007
Last updated
May 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Authorized official

Name
Dr. Federico Deltoro, M.D.NPI 1932118445
Title
Physician
Phone
(337) 288-5557

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X

Addresses

Primary practice location

804 Richland Ave
Lafayette, LA 70508-6661

Mailing address

PO Box 81736
Lafayette, LA 70598-1736
Phone (337) 291-2455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120516000180 LA Part B Supplier - Clinic/Group Practice 9335302017 Receives reassigned benefits from 2 practitioners
Practice locations: Lafayette, LA

National Provider Directory

National Provider Directory

Locations

310 Youngsville Hwy
Lafayette, LA 70508
Phone (337) 837-5250

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1821216144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81736",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705981736",
            "telephone_number": "337-291-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 RICHLAND AVE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086661",
            "telephone_number": "337-291-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADEBE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "DELTORO",
        "authorized_official_first_name": "FEDERICO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "337-288-5557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.