NPIMap

Individual provider Active NPI

Keane Tarleton Oneal, MD

  • Family Medicine Physician
  • Lake Charles, LA
National Provider Identifier
1932175353
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
023808 Issued in LA
Practice address
1920 W Sale Rd
Suite 2
Lake Charles, LA 70605-2400
Phone
(337) 474-2856
Fax
(337) 480-0645
NPI assigned
Feb 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 023808 LA Primary

Addresses

Primary practice location

1920 W Sale Rd
Suite 2
Lake Charles, LA 70605-2400

Mailing address

501 Dr Michael Debakey Dr
Lake Charles, LA 70601-5724
Phone (337) 312-8258

Other identifiers 1

IdentifierTypeStateIssuer
1487228MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100316000107 LA Practitioner - Family Practice 4486742137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imperial Health LLPGroup PAC ID 7719886779, 75 clinicians

Practice addresses (Care Compare)

1920 W Sale Rd
BLDG F Suite 2
Lake Charles, LA 70605-2400
Phone (337) 474-2856

Hospital & facility affiliations

  • Vitalcaring Group Home health agency, Basile, LA, CCN 197038
  • Elara Caring Home health agency, Jennings, LA, CCN 197679
  • Christus Homecare St Patrick Home health agency, Lake Charles, LA, CCN 197015
  • Centerwell Home Health Home health agency, Jennings, LA, CCN 197315
  • Amedisys Home Health Home health agency, Lake Charles, LA, CCN 197443
  • Christus Ochsner St Patrick Hospital Hospital, Lake Charles, LA, CCN 190027
  • Christus Ochsner Lake Area Hospital Hospital, Lake Charles, LA, CCN 190201
  • Lake Charles Memorial Hospital Hospital, Lake Charles, LA, CCN 190060
  • West Calcasieu Cameron Hospital Hospital, Sulphur, LA, CCN 190013

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023808LAMDFamily Medicine Physician
023608LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Health LLP CurrentSince Jul 1, 2003 Accepting new patients
Imperial Health, LLP Family Medicine CurrentSince Jul 1, 2003 Accepting new patients
Southwest Louisiana Hospital Association Inc Past Accepting new patients

Locations

1920 W Sale Rd
Ste 2
Lake Charles, LA 70605
Phone (337) 312-8284

501 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 312-8258

2000 Southwood Dr
Lake Charles, LA 70605
Phone (337) 474-2682

4201 Nelson Rd
Ste 100
Lake Charles, LA 70605
Phone (337) 310-2273

Interoperability endpoints

  • Direct secure messaging: keane.oneal@1288.direct.myezyaccess.com

Organizations & group practices 5

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 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1140825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1932175353",
    "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": "337-312-8258",
            "fax_number": "337-312-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 W SALE RD",
            "address_2": "SUITE 2",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706052400",
            "telephone_number": "337-474-2856",
            "fax_number": "337-480-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONEAL",
        "first_name": "KEANE",
        "middle_name": "TARLETON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-25",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "023808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487228",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.