Individual provider Active NPI

James B. Godchaux Jr., M.D.

  • Diagnostic Radiology Physician
  • Lafayette, LA
National Provider Identifier
1922092311
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
15349R Issued in LA
Practice address
856 Kaliste Saloom Rd Ste B
Lafayette, LA 70508-4395
Phone
(337) 593-9500
NPI assigned
Aug 31, 2005
Last updated
Jan 6, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 15349R LA Primary

Addresses

Primary practice location

856 Kaliste Saloom Rd Ste B
Lafayette, LA 70508-4395

Mailing address

112 Queen of Peace Dr
Lafayette, LA 70508-5383
Phone (337) 261-0786

Other identifiers 2

IdentifierTypeStateIssuer
1575437MedicaidLA
P00327378OtherLARAILROAD RETIREMENT MEDIC

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
I20040617001566 LA Practitioner - Diagnostic Radiology 4486638111 Practice locations: Lafayette, LA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15349RLAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Envision Imaging of Acadiana LLC Diagnostic Radiology CurrentSince Jun 1, 2009 Accepting new patients
St, Landry Radiology Associates, Apmc Diagnostic Radiology Past Accepting new patients
Envision Imaging of Acadiana, LLC Diagnostic Radiology Past Accepting new patients

Locations

8610 Explorer Dr
Unit 300
Colorado Springs, CO 80920

856 Kaliste Saloom Rd
Ste B
Lafayette, LA 70508
Phone (337) 593-9500

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, 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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1922092311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 QUEEN OF PEACE DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085383",
            "telephone_number": "337-261-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 KALISTE SALOOM RD STE B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084395",
            "telephone_number": "337-593-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODCHAUX",
        "first_name": "JAMES",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "15349R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1575437",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD RETIREMENT MEDIC",
            "identifier": "P00327378",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.