Individual provider Active NPI

Darryl Elias Jr., M.D.

  • Gynecology Physician
  • Lafayette, LA
National Provider Identifier
1861435562
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
23966 Issued in LA
Practice address
1221 Coolidge Blvd
Lafayette, LA 70503-2620
Phone
(337) 616-0800
Fax
(337) 616-0803
NPI assigned
Jun 13, 2006
Last updated
Oct 23, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VG0400X 23966 LA Primary

Addresses

Primary practice location

1221 Coolidge Blvd
Lafayette, LA 70503-2620

Mailing address

1221 Coolidge Blvd
Lafayette, LA 70503-2620
Phone (337) 616-0800

Other identifiers 1

IdentifierTypeStateIssuer
1483991MedicaidLA

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
I20060825000008 LA Practitioner - Obstetrics/Gynecology 2365459070 Reassigns benefits to 3 organizations
Practice locations: Lafayette, LA

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in New Orleans, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1221 Coolidge Blvd
Lafayette, LA 70503-2620
Phone (337) 616-0800

155 Hospital Dr
Ste. 400
Lafayette, LA 70503-2852

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23966LAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lsuhn Billing LLC CurrentSince Jul 1, 2014 Accepting new patients
Stephen Padgett MD LLC Single Specialty CurrentSince Feb 12, 2021 Accepting new patients
Obhg Louisiana, LLC Single Specialty CurrentSince Jan 19, 2020 Accepting new patients
Lsuhn Billing LLC Single Specialty CurrentSince Jul 1, 2014 Accepting new patients
Lafayette General Medical Center Inc Past Accepting new patients
James a Pearce, DDS, a Professional Dental Corporation Single Specialty Past Accepting new patients

Locations

8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000

1211 Coolidge Blvd
Ste 405
Lafayette, LA 70503
Phone (337) 233-7524

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

1221 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 269-0564

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

Interoperability endpoints

  • Direct secure messaging: delias1443477@direct.ochsner.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1861435562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 COOLIDGE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032620",
            "telephone_number": "337-616-0800",
            "fax_number": "337-616-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 COOLIDGE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032620",
            "telephone_number": "337-616-0800",
            "fax_number": "337-616-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIAS",
        "first_name": "DARRYL",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "LA",
            "license": "23966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1483991",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.