Individual provider Active NPI

Theodore Wensel Deblanc, M.D.

  • Internal Medicine Physician
  • Opelousas, LA
National Provider Identifier
1952506750
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
017665 Issued in LA
Practice address
1270 Attakapas Dr Ste 502
Opelousas, LA 70570-6530
Phone
(337) 942-9977
Fax
(337) 942-8006
NPI assigned
Jun 20, 2007
Last updated
Jan 20, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 017665 LA Primary

Addresses

Primary practice location

1270 Attakapas Dr Ste 502
Opelousas, LA 70570-6530

Mailing address

1270 Attakapas Dr Ste 502
Opelousas, LA 70570-6530
Phone (337) 942-9977

Other identifiers 1

IdentifierTypeStateIssuer
1371424MedicaidLA

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
I20041028000536 LA Practitioner - Internal Medicine 9436137650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1270 Attakapas Dr
Suite 502
Opelousas, LA 70570-6530
Phone (337) 942-9977

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
017665LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Opelousas General Health System CurrentSince Jun 1, 2018 Accepting new patients
Opelousas General Health System Physician Practices CurrentSince Jun 1, 2018 Accepting new patients
Opelousas General Health System Physician Practices Past Accepting new patients
Correct Care, Inc. Past Accepting new patients
Cenla Chiropractic & Wellness Past Accepting new patients

Locations

1200 Hospital Dr
Ste 4
Opelousas, LA 70570
Phone (337) 447-4027

1200 Hospital Dr
Ste 5
Opelousas, LA 70570
Phone (337) 678-4285

1233 Wayne Gilmore Cir
Ste 250B
Opelousas, LA 70570
Phone (337) 407-1955

1270 Attakapas Dr
Ste 502
Opelousas, LA 70570
Phone (337) 942-9977

3975 I 49 S Service Rd
Ste 105
Opelousas, LA 70570
Phone (337) 597-0750

3975 I 49 S Service Rd
Ste 200
Opelousas, LA 70570
Phone (337) 594-0750

539 E Prudhomme St
Opelousas, LA 70570
Phone (337) 943-7128

Interoperability endpoints

  • Direct secure messaging: theodore.deblanc.1@20525.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263945600000",
    "number": "1952506750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 ATTAKAPAS DR STE 502",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706530",
            "telephone_number": "337-942-9977",
            "fax_number": "337-942-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 ATTAKAPAS DR STE 502",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706530",
            "telephone_number": "337-942-9977",
            "fax_number": "337-942-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBLANC",
        "first_name": "THEODORE",
        "middle_name": "WENSEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2010-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "017665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1371424",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

Verify at the official NPI Registry.