Individual provider Active NPI

Timothy D Faul, MD

  • Anesthesiology Physician
  • Lafayette, LA
National Provider Identifier
1871513044
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
023080 Issued in LA
Practice address
611 Saint Landry St
Lafayette, LA 70506-4627
Phone
(337) 289-2966
Fax
(337) 289-2776
NPI assigned
Jul 20, 2006
Last updated
Mar 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 023080 LA Primary

Addresses

Primary practice location

611 Saint Landry St
Lafayette, LA 70506-4627

Mailing address

PO Box 53864
Lafayette, LA 70505-3864
Phone (337) 289-2966

Other identifiers 1

IdentifierTypeStateIssuer
1496634MedicaidLA

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
I20080819000804 LA Practitioner - Anesthesiology 1456426824 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Louisiana State University School of Medicine in New Orleans, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Childrens Hospital Anesthesia CorporationGroup PAC ID 0446152862, 281 clinicians

Practice addresses (Care Compare)

1415 Tulane Ave
New Orleans, LA 70112-2600
Phone (504) 613-0711

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023080LAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Jan 23, 2023 Accepting new patients
Orthomed Staffing LLC Anesthesiology CurrentSince May 1, 2023 Accepting new patients
Ochsner Clinic LLC CurrentSince Jan 23, 2023 Accepting new patients
Childrens Hospital Anesthesia Corporation Anesthesiology CurrentSince Sep 1, 2023 Accepting new patients
Zephyr Anesthesia, LLC Anesthesiology CurrentSince Apr 1, 2023 Accepting new patients
Youngs Professional Services LLC CurrentSince Nov 1, 2016 Accepting new patients

Locations

3704 Lapalco Blvd
Harvey, LA 70058
Phone (504) 207-5320

694 Belle Terre Blvd
La Place, LA 70068
Phone (985) 359-6694

1105 Kaliste Saloom Rd
Lafayette, LA 70508
Phone (225) 296-0041

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

501 W Saint Mary Blvd
Ste 110
Lafayette, LA 70506
Phone (337) 233-8887

4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453

720 Veterans Memorial Blvd
Ste 100
Metairie, LA 70005
Phone (504) 293-4955

1601 Louisville Ave
Monroe, LA 71201
Phone (318) 998-5555

1100 Andre St
Ste 300
New Iberia, LA 70563
Phone (337) 364-9225

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1514 Jefferson Hwy
New Orleans, LA 70121

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

2701 Napoleon Ave
New Orleans, LA 70115
Phone (504) 267-2805

187 Ventre Blvd
Opelousas, LA 70570
Phone (337) 407-0050

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.

Hospital & facility affiliations 4

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1871513044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53864",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705053864",
            "telephone_number": "337-289-2966",
            "fax_number": "337-289-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 SAINT LANDRY ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064627",
            "telephone_number": "337-289-2966",
            "fax_number": "337-289-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUL",
        "first_name": "TIMOTHY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "023080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1496634",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.