Ladebe LLC
Organization Active NPI Internal Medicine Physician · Lafayette, LA
NPI 1821216144 · NPPES record last updated May 10, 2012
Key facts
- NPI
- 1821216144
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- LADEBE LLC
- Practice address
- 804 Richland Ave
Lafayette, LA 70508-6661 - Phone
- (337) 291-2455
- NPI assigned
- Apr 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Federico Deltoro, M.D.
- Title
- Physician
- Phone
- (337) 288-5557
Practitioners 3
-
Federico Del Toro, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120516000180 | LA | Part B Supplier - Clinic/Group Practice | 9335302017 |
Receives reassigned benefits from 2 practitioners Practice locations: Lafayette, LA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes | ||
| Nephrology Physician |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1444855 | Medicaid | LA |
Other providers in Lafayette, LA
- Laconsultants LLC
- Aimee Lacour
- Brittney Jacqueline Lacour
- Mary Elizabeth Lacour
- Taylor Lacour
- Lady of the Oaks Retirement Manor, LLC
- Lady of the Oaks Retirement Manor, LLC
- Lafayette Arc Resident Service
- Lafayette Arc Resident Service
- Lafayette Arc Resident Service
All providers in Lafayette, LA · Internal Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.