Individual provider Active NPI

Seth Thomas Billiodeaux, MD

  • Pain Medicine Physician
  • Lake Charles, LA
National Provider Identifier
1841492196
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
202774 Issued in LA
Practice address
2770 3Rd Ave Ste 110
Lake Charles, LA 70601-0404
Phone
(337) 494-4747
Fax
(337) 494-4773
NPI assigned
May 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD202774 LA
Pain Medicine Physician 208VP0000X 202774 LA Primary

Addresses

Primary practice location

2770 3Rd Ave Ste 110
Lake Charles, LA 70601-0404

Mailing address

P O Box 122425
Dept 2425
Dallas, TX 75312-2425
Phone (337) 494-2772

Other identifiers 1

IdentifierTypeStateIssuer
1409936MedicaidLA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120625000221 LA Practitioner - AnesthesiologyPractitioner - Vascular SurgeryPractitioner - Pain Management 4486819562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Louisiana State University School of Medicine in Shreveport, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LCMS Neurosurgical Institute of Lake Charles LLCGroup PAC ID 8224189758, 10 clinicians

Practice addresses (Care Compare)

2770 3Rd Ave
Suite 110
Lake Charles, LA 70601-0404
Phone (337) 494-4747

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD202774LAMDAnesthesiology Physician
202774LAMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seth Billiodeaux MD LLC Anesthesiology Current Accepting new patients
LCMS Neurosurgical Institute of Lake Charles LLC CurrentSince Jan 1, 2020 Accepting new patients
Lake Charles Medical Services Past Accepting new patients

Locations

2770 3rd Ave
Ste 110
Lake Charles, LA 70601
Phone (337) 494-2750

4345 Nelson Rd
Ste 102
Lake Charles, LA 70605
Phone (337) 439-2020

2770 3rd Ave
Ste 100
Lake Charles, LA 70601
Phone (337) 494-4720

1717 Oak Park Blvd
Fl 3
Lake Charles, LA 70601
Phone (337) 494-4900

4345 Nelson Rd
Lake Charles, LA 70605
Phone (337) 480-7900

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1841492196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 122425",
            "address_2": "DEPT 2425",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753122425",
            "telephone_number": "337-494-2772",
            "fax_number": "337-494-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 3RD AVE STE 110",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706010404",
            "telephone_number": "337-494-4747",
            "fax_number": "337-494-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLIODEAUX",
        "first_name": "SETH",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "MD202774",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "LA",
            "license": "202774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1409936",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.