Individual provider Active NPI

Patricia A Cran, M.D.

  • Internal Medicine Physician
  • Lafayette, LA
National Provider Identifier
1902943814
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L017245 Issued in LA
Practice address
501 W Saint Mary Blvd
Suite 302
Lafayette, LA 70506-4600
Phone
(337) 593-9383
Fax
(337) 593-9385
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 L017245 LA Primary

Addresses

Primary practice location

501 W Saint Mary Blvd
Suite 302
Lafayette, LA 70506-4600

Mailing address

501 W Saint Mary Blvd
Suite 302
Lafayette, LA 70506-4600
Phone (337) 593-9383

Other identifiers 1

IdentifierTypeStateIssuer
1360767MedicaidLA

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
I20160322000288 LA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 1153456793

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L017245LAMDInternal Medicine Physician

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospice of Acadiana, Inc.Lafayette, LA, CCN 191500 Hospice Corporate Director Jan 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902943814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W SAINT MARY BLVD",
            "address_2": "SUITE 302",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064600",
            "telephone_number": "337-593-9383",
            "fax_number": "337-593-9385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W SAINT MARY BLVD",
            "address_2": "SUITE 302",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064600",
            "telephone_number": "337-593-9383",
            "fax_number": "337-593-9385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAN",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "L017245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1360767",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.