NPIMap

Organization Active NPI

Skylink Medical Inc

  • Sleep Medicine (Family Medicine) Physician
  • Lafayette, LA
National Provider Identifier
1861163305
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
Legal business name
SKYLINK MEDICAL INC
Practice address
106 Rue Argenteuil
Lafayette, LA 70506-3726
Phone
(337) 349-6655
Fax
(833) 561-2443
NPI assigned
Sep 24, 2021
Last updated
Nov 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Authorized official

Name
Matthew M Abraham, MDNPI 1174511794
Title
Co-Owner
Phone
(377) 349-6655

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) Physician 207QS1201X NU Primary

Addresses

Primary practice location

106 Rue Argenteuil
Lafayette, LA 70506-3726

Mailing address

4440-A Ambassador Caffery Parkway
PMB 159
Lafayette, LA 70508
Phone (337) 349-6655

Other practice location 1

1110 Cowan Rd Ste B
Gulfport, MS 39507-3441
Phone (337) 349-6655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS, FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20211216001788 LA Part B Supplier - Clinic/Group Practice 0143611640 Receives reassigned benefits from 9 practitioners
Practice locations: Lafayette, LA
O20211223000235 MS Part B Supplier - Clinic/Group Practice 0143611640 Receives reassigned benefits from 2 practitioners
Practice locations: Gulfport, MS
O20240813000268 FL Part B Supplier - Clinic/Group Practice 0143611640 Receives reassigned benefits from 1 practitioner
Practice locations: St Petersburg, FL

National Provider Directory

National Provider Directory

Locations

224 Saint Landry St
Ste 1G
Lafayette, LA 70506
Phone (337) 266-8483

4400 Ambassador Caffery Pkwy
Ste A
Lafayette, LA 70508

4440 Ambassador Caffery Pkwy
#A
Lafayette, LA 70508

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25308/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 10

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": "1632441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1861163305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440-A AMBASSADOR CAFFERY PARKWAY",
            "address_2": "PMB 159",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "337-349-6655",
            "fax_number": "833-561-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 RUE ARGENTEUIL",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063726",
            "telephone_number": "337-349-6655",
            "fax_number": "833-561-2443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 Cowan Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395073441",
            "country_code": "US",
            "telephone_number": "337-349-6655",
            "fax_number": "833-561-2443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SKYLINK MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "377-349-6655",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 Nov 30, 2021; 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.