Individual provider Active NPI

Charles R Ducombs, M.D.

  • Internal Medicine Physician
  • Hammond, LA
National Provider Identifier
1891765954
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15549R Issued in LA
Practice address
15813 Paul Vega MD Dr Ste 300
Hammond, LA 70403-1431
Phone
(985) 230-7675
Fax
(985) 230-7677
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15549R LA Primary

Addresses

Primary practice location

15813 Paul Vega MD Dr Ste 300
Hammond, LA 70403-1431

Mailing address

PO Box 3087
Hammond, LA 70404-3087
Phone (985) 230-3653

Other identifiers 1

IdentifierTypeStateIssuer
1476447MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://soapproxyprd.northoaks.org/nohsfhir/api/FHIR/R4/ North Oaks Physician Group, LLC

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
I20050311000904 LA Practitioner - Internal Medicine 3274587266 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in Shreveport, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Oaks Medical Center LLCGroup PAC ID 2466629522, 317 clinicians

Practice addresses (Care Compare)

15813 Paul Vega MD Dr
Suite 300
Hammond, LA 70403-1431
Phone (985) 230-7675

Hospital & facility affiliations

  • Audubon Home Health of Hammond Home health agency, Hammond, LA, CCN 197272
  • Modern Home Health, Inc Home health agency, Hammond, LA, CCN 197667
  • Centerwell Home Health Home health agency, Hammond, LA, CCN 197470
  • North Oaks Medical Center Hospital, Hammond, LA, CCN 190015
  • Our Lady of the Lake Regional Medical Center Hospital, Baton Rouge, LA, CCN 190064

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15549RLAMDInternal Medicine Physician
0000000TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
North Oaks Physician Group, LLC CurrentSince Oct 1, 2012 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Jun 4, 2022 Accepting new patients
Northshore Internal Medicine Associates Internal Medicine Past Accepting new patients

Locations

15813 Paul Vega Md Dr
Ste 402
Hammond, LA 70403
Phone (985) 230-7350

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

15813 Paul Vega Md Dr
Ste 200
Hammond, LA 70403
Phone (985) 230-7650

2101 Robin Ave
Ste 5
Hammond, LA 70403
Phone (985) 230-5390

15813 Paul Vega Md Dr
Hammond, LA 70403

2101 Robin Ave
Ste K
Hammond, LA 70403
Phone (985) 318-1000

1902 S Morrison Blvd
Hammond, LA 70403
Phone (985) 230-5800

15813 Paul Vega Md Dr
Ste 400
Hammond, LA 70403
Phone (985) 230-1835

15813 Paul Vega Md Dr
Ste 300
Hammond, LA 70403
Phone (985) 230-7675

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 5

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1891765954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3087",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704043087",
            "telephone_number": "985-230-3653",
            "fax_number": "985-370-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15813 PAUL VEGA MD DR STE 300",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031431",
            "telephone_number": "985-230-7675",
            "fax_number": "985-230-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCOMBS",
        "first_name": "CHARLES",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "15549R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1476447",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://soapproxyprd.northoaks.org/nohsfhir/api/FHIR/R4/",
            "affiliation": "Y",
            "affiliationName": "North Oaks Physician Group, LLC",
            "address_1": "15813 Paul Vega Md Dr Ste 300",
            "city": "Hammond",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704031431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.