Lori Nicole Gautreaux, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

301091 Issued in LA

Practice address

4640 W Congress St
Lafayette, LA 70506-6622

Phone

(337) 678-4401

Fax

(866) 393-8293

NPI assigned

Mar 25, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Lori Nicole Gautreaux-Bergeron Professional name

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

Specialty

Internal MedicineAlso: Pediatric Medicine

Education

Louisiana State University School of Medicine in Shreveport, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grace Home Health Home health agency, Lafayette, LA, CCN 197777
• St Landry Homecare Home health agency, Opelousas, LA, CCN 197136
• Opelousas General Health System Hospital, Opelousas, LA, CCN 190017
• Our Lady of Lourdes Regional Medical Center, Inc Hospital, Lafayette, LA, CCN 190102
• Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002

Merit-based Incentive Payment System (MIPS)

Final score

89.08 of 100Reported as individual

Quality

85.71

Promoting interoperability

100

Improvement activities

40

Cost

77.88

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BGFFAD
• FHIR API: https://fhir4.healow.com/fhir/r4/BGFFAD/Endpoint/BGFFAD

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.

• Lori Gautreaux Bergeron LLC

  • Internal Medicine Physician
  • Lafayette, LA
  • NPI 1912369851
  Medicare reassignment NPD Authorized official

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

• Lafayette General Medical Center Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1275536799
  Care Compare affiliation
• LHCG XV, LLC

  dba St. Landry HomeCare

  • Home Health Agency
  • Opelousas, LA
  • NPI 1538392238
  Care Compare affiliation
• Nations Healthcare, L.L.C.

  dba Grace Home Health

  • Home Health Agency
  • Lafayette, LA
  • NPI 1932579414
  Care Compare affiliation
• Opelousas General Hospital Authority

  • General Acute Care Hospital
  • Opelousas, LA
  • NPI 1447230388
  Care Compare affiliation
• Our Lady of Lourdes Regional Medical Center, Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1598766495
  Care Compare affiliation

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

{
    "created_epoch": "1332633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1942576855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 W CONGRESS ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066622",
            "telephone_number": "337-678-4401",
            "fax_number": "866-393-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 W CONGRESS ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066622",
            "telephone_number": "337-678-4401",
            "fax_number": "866-393-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUTREAUX",
        "first_name": "LORI",
        "middle_name": "NICOLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-25",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "301091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "GAUTREAUX-BERGERON",
            "middle_name": "NICOLE",
            "prefix": "MRS.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Scott Thomas Gauthreaux, M.D.
• Rowdy James Gautreau, D.C.
• Carlos Gautreaux, IOMT
• Jami Gautreaux
• Josh Douglas Gautreaux, CRNA
• Cynthia A Gaydon, LCSW
• GBR, LLC
• Geeta N Dalal MD LLC
• Rachel Geiger, LPC
• General Surgery Services Apmc

• Internal Medicine Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.