Individual provider Active NPI

Patrick S Gillespie, MD

  • Family Medicine Physician
  • Washington, LA
National Provider Identifier
1902850084
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.021192 Issued in LA
Practice address
414 N Main
Washington, LA 70589-0698
Phone
(337) 826-8044
Fax
(337) 826-8048
NPI assigned
May 21, 2006
Last updated
Jul 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 021192 LA
Family Medicine Physician 207Q00000X MD.021192 LA Primary

Addresses

Primary practice location

414 N Main
Washington, LA 70589-0698

Mailing address

PO Box 698
Washington, LA 70589-0698
Phone (337) 826-8044

Other identifiers 1

IdentifierTypeStateIssuer
1913677MedicaidLA

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
I20050407000946 LA Practitioner - General Practice 7012964331 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Louisiana State University School of Medicine in New Orleans, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3975 I-49 S Services Rd
Suite 200
Opelousas, LA 70570-0775
Phone (337) 594-3980

414 N Main St
Washington, LA 70589-4282
Phone (337) 826-8044

539 E Prudhomme St
Opelousas, LA 70570-6499

PO Box
Suite 698
Washington, LA 70589

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021192LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Emergency Physician Partners LLC Emergency Medicine CurrentSince Nov 21, 2023 Accepting new patients
Opelousas General Health System Physician Practices CurrentSince Oct 1, 2024 Accepting new patients
Opelousas General Health System CurrentSince Oct 1, 2024 Accepting new patients
Opelousas General Health System Physician Practices Family Medicine Current Accepting new patients
Opelousas Emergency Group LLC Emergency Medicine CurrentSince Dec 13, 2005 Accepting new patients
Acadian Hospitalist Group LLC CurrentSince Nov 1, 2023 Accepting new patients
Dr Patrick S Gillespie a Professional Medical Corporation CurrentSince Feb 2, 2010 Accepting new patients
Opelousas General Health System Physician Practices Family Medicine Past Accepting new patients
Opelousas General Hospital Authority Past Accepting new patients
Opelousas Healthcare Properties LLC Past Accepting new patients
Our Lady of Lourdes Regional Medical Center Emergency Medicine Past Accepting new patients
Interventional Pain Specialists, LLC PastSince Apr 13, 2025 Accepting new patients

Locations

3935 I 49 S Service Rd
Opelousas, LA 70570
Phone (337) 594-6002

3975 I 49 S Service Rd
Ste 105
Opelousas, LA 70570
Phone (337) 597-0750

3975 I 49 S Service Rd
Ste 200
Opelousas, LA 70570
Phone (337) 594-0750

3983 I 49 S Service Rd
Opelousas, LA 70570
Phone (337) 407-4512

539 E Prudhomme St
Opelousas, LA 70570
Phone (337) 943-7128

1900 Main St
Sheridan, LA 70438
Phone (985) 795-4294

Organizations & group practices 12

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 6

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": "1148169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1902850084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 698",
            "city": "WASHINGTON",
            "state": "LA",
            "postal_code": "705890698",
            "telephone_number": "337-826-8044",
            "fax_number": "337-826-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 N MAIN",
            "city": "WASHINGTON",
            "state": "LA",
            "postal_code": "705890698",
            "telephone_number": "337-826-8044",
            "fax_number": "337-826-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "PATRICK",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-21",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "021192",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.021192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1913677",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, LA

Sources for this page

Verify at the official NPI Registry.