Active NPI
Imperial Health, LLP
- Ambulatory Surgical Clinic/Center
- Lake Charles, LA
National Provider Identifier
1922178169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 53
- Legal business name
- IMPERIAL HEALTH, LLP
- Practice address
- 501 Dr Michael Debakey Dr
Lake Charles, LA 70601-5724 - Phone
- (337) 433-8400
- Fax
- (337) 312-6708
- NPI assigned
- Nov 8, 2006
- Last updated
- Jan 16, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tonya Richard
- Title
- Assistant Administrator
- Phone
- (337) 312-8291
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 53 | LA | Primary |
Addresses
Primary practice location
501 Dr Michael Debakey Dr
Lake Charles, LA 70601-5724
Mailing address
501 Dr Michael Debakey Dr
Lake Charles, LA 70601-5724
Phone (337) 433-8400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1966983 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071115000013 | LA | Part B Supplier - Ambulatory Surgical Center | 7719886779 | Practice locations: Lake Charles, LA |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Lake Charles, LA
- NPI 1740982115
7719886779
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Imperial Health LLP
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1484524800000",
"number": "1922178169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 DR MICHAEL DEBAKEY DR",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706015724",
"telephone_number": "337-433-8400",
"fax_number": "337-312-6708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 DR MICHAEL DEBAKEY DR",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706015724",
"telephone_number": "337-433-8400",
"fax_number": "337-312-6708"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMPERIAL HEALTH, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-08",
"last_updated": "2017-01-16",
"status": "A",
"authorized_official_last_name": "RICHARD",
"authorized_official_first_name": "TONYA",
"authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
"authorized_official_telephone_number": "337-312-8291"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "LA",
"license": "53",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1966983",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.