Individual provider Active NPI

Andrew Daniel Collins, M.D.

  • Allergy & Immunology Physician
  • Lafayette, LA
National Provider Identifier
1932424660
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
303260 Issued in LA
Practice address
320 Settlers Trace Blvd
Lafayette, LA 70508-6060
Phone
(337) 981-9495
Fax
(337) 981-7451
NPI assigned
Apr 6, 2010
Last updated
Mar 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 2015-00868 NC
Allergy & Immunology Physician 207K00000X 303260 LA Primary

Addresses

Primary practice location

320 Settlers Trace Blvd
Lafayette, LA 70508-6060

Mailing address

320 Settlers Trace Blvd
Lafayette, LA 70508-6060
Phone (337) 981-9495

Other identifiers 1

IdentifierTypeStateIssuer
2428942MedicaidLA

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
I20160922000268 LA Practitioner - Allergy/Immunology 6901034917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Louisiana State University School of Medicine in New Orleans, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

320 Settlers Trace Blvd
Lafayette, LA 70508-6060
Phone (337) 981-9495

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2015-00868NCMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Asthma & Immunology Center of Southwest Louisiana Allergy CurrentSince Nov 10, 2016 Accepting new patients
Children's Clinic of Southwest Louisiana, Inc. PastSince Nov 10, 2016 Accepting new patients

Locations

320 Settlers Trace Blvd
Lafayette, LA 70508
Phone (337) 981-9495

2903 1st Ave
Lake Charles, LA 70601
Phone (337) 478-6480

4111 Lake St
Lake Charles, LA 70605
Phone (337) 502-4873

Organizations & group practices 2

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 3

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": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1932424660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SETTLERS TRACE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086060",
            "telephone_number": "337-981-9495",
            "fax_number": "337-981-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SETTLERS TRACE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086060",
            "telephone_number": "337-981-9495",
            "fax_number": "337-981-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "ANDREW",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-06",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NC",
            "license": "2015-00868",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "LA",
            "license": "303260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2428942",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.