Individual provider Active NPI

Kate Degatur, MD

  • Pediatrics Physician
  • Lafayette, LA
National Provider Identifier
1841722253
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
324004 Issued in LA
Practice address
4212 W Congress St
Lafayette, LA 70506-6765
Phone
(337) 703-3360
Fax
(337) 703-3361
NPI assigned
Apr 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 324004 LA Primary

Addresses

Primary practice location

4212 W Congress St
Lafayette, LA 70506-6765

Mailing address

PO Box 54544
New Orleans, LA 70154-4544

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
I20210119002516 LA Practitioner - General SurgeryPractitioner - Pediatric Medicine 6204192362 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospital and Clinics, Inc. CurrentSince Nov 8, 2020 Accepting new patients
University Hospital & Clinics, Inc. Single Specialty Current Accepting new patients
University Hospital & Clinics Inc CurrentSince Nov 8, 2020 Accepting new patients
Lafayette General Medical Center Inc Past Accepting new patients
University Hospital & Clinics, Inc. Past Accepting new patients

Locations

4212 W Congress St
Ste 1403
Lafayette, LA 70506
Phone (337) 234-3163

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1841722253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54544",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701544544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 W CONGRESS ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066765",
            "telephone_number": "337-703-3360",
            "fax_number": "337-703-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGATUR",
        "first_name": "KATE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "324004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.