Individual provider Active NPI

Rachael Lane Guillory, MD

  • Diagnostic Radiology Physician
  • Lafayette, LA
National Provider Identifier
1982946562
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
312419 Issued in LA
Practice address
1811 Dulles Dr
Lafayette, LA 70506-3724
Phone
(337) 278-2351
NPI assigned
Mar 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 312419 LA Primary

Addresses

Primary practice location

1811 Dulles Dr
Lafayette, LA 70506-3724

Mailing address

313 Broadmoor Blvd
Lafayette, LA 70503-5115
Phone (337) 278-2351

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
I20190923001905 LA Practitioner - Diagnostic Radiology 6709009822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Louisiana State University School of Medicine in Shreveport, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Radiology, LLCGroup PAC ID 2860404811, 40 clinicians

Practice addresses (Care Compare)

1202 S Tyler St
Covington, LA 70433-2330
Phone (985) 898-4000

Hospital & facility affiliations

  • Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002
  • Ochsner University Hospital and Clinics Hospital, Lafayette, LA, CCN 190006
  • Ochsner St Martin Hospital Hospital, Breaux Bridge, LA, CCN 191302
  • Abrom Kaplan Memorial Hospital Hospital, Kaplan, LA, CCN 191322
  • Acadia General Hospital Hospital, Crowley, LA, CCN 190044

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Radiology, LLC Diagnostic Radiology CurrentSince Aug 1, 2019 Accepting new patients
Lafayette Health Ventures, Inc Past Accepting new patients

Locations

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

16282 Highway 1085
Covington, LA 70433
Phone (985) 898-4140

82525 Highway 25
Folsom, LA 70437
Phone (985) 839-9895

1322 Elton Rd
Ste F
Jennings, LA 70546
Phone (337) 824-8868

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

409 W Pont des Mouton Rd
Lafayette, LA 70507

Interoperability endpoints

  • Direct secure messaging: rguillory1443494@direct.ochsner.org

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1982946562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 BROADMOOR BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035115",
            "telephone_number": "337-278-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 DULLES DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063724",
            "telephone_number": "337-278-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLORY",
        "first_name": "RACHAEL",
        "middle_name": "LANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-21",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "312419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.