Ricardo Samudia, MD

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

07963R Issued in LA

Practice address

1717 Oak Park Blvd FL 3
Lake Charles, LA 70601-8990

Phone

(337) 475-8100

Fax

(337) 475-8510

NPI assigned

May 18, 2006

Last updated

Jun 5, 2014By the provider in NPPES

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

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 PracticeAlso: Emergency Medicine

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Buxton Emergency Group LLCGroup PAC ID 8729321344, 8 clinicians

Leatherwood Emergency Group LLCGroup PAC ID 0749521250, 13 clinicians

Hodges Emergency Group LLCGroup PAC ID 2567703978, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dequincy Memorial Hospital Hospital, Dequincy, LA, CCN 191307
• Oakdale Community Hospital Hospital, Oakdale, LA, CCN 190106
• Sabine Medical Center Hospital, Many, LA, CCN 190218

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Buxton Emergency Group, LLC

  • Emergency Medicine Physician
  • Dequincy, LA
  • NPI 1750845301
  Medicare reassignment Care Compare group NPD
• Hodges Emergency Group, LLC

  • Emergency Medicine Physician
  • Many, LA
  • NPI 1710441316
  Medicare reassignment Care Compare group NPD
• Leatherwood Emergency Group, LLC

  • Emergency Medicine Physician
  • Oakdale, LA
  • NPI 1760946313
  Medicare reassignment Care Compare group NPD
• Emergency Staffing Solutions Inc

  • Emergency Medicine Physician
  • Many, LA
  • NPI 1477590974
  Medicare reassignment NPD
• Ess Hospitalist LLC

  • Hospitalist Physician
  • Crossett, AR
  • NPI 1881967305

  LA

  Medicare reassignment NPD

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

• Allegiance Hospital of Many, LLC

  • Psychiatric Hospital Unit
  • Zwolle, LA
  • NPI 1497219257
  Care Compare affiliation
• Allegiance Hospital of Many, LLC

  dba Sabine Medical Center

  • General Acute Care Hospital
  • Many, LA
  • NPI 1568626273
  Care Compare affiliation
• CLHG-Dequincy, LLC

  dba Dequincy Memorial Hospital

  • Critical Access Hospital
  • Dequincy, LA
  • NPI 1902469653
  Care Compare affiliation
• CLHG-Oakdale, LLC

  dba Oakdale Community Hospital

  • General Acute Care Hospital
  • Oakdale, LA
  • NPI 1104873710
  Care Compare affiliation

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401926400000",
    "number": "1831142355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122108",
            "address_2": "DEPT 2108",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753122108",
            "telephone_number": "337-494-2919",
            "fax_number": "337-494-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 OAK PARK BLVD FL 3",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018990",
            "telephone_number": "337-475-8100",
            "fax_number": "337-475-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUDIA",
        "first_name": "RICARDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2014-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "LA",
            "license": "07963R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samaritan Counseling Center of Imperial Calcasieu
• Mark Sepehr Samii, M.D.
• Vanity N Sampson, N/A
• Sams East Inc (Sams Pharmacy 10-8265)
• Samson Behavioral Services
• Elicia Sanders
• Eric A Sanders, DDS
• Gwendolyn Sanders
• Jeremy Bernard Sanders, APRN, PMHNP-BC
• Sandra D.M. Bruno, M.D., LLC (Moss Bluff Medical Clinic)

• Adult Medicine Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Adult Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.