Active NPI
Lawrence A. Giambelluca, M.D.
- Family Medicine Physician
- Belle Chasse, LA
National Provider Identifier
1992704076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L#015363
- Practice address
- 1112 Engineers Rd
Belle Chasse, LA 70037-3131 - Phone
- (504) 393-0610
- Fax
- (504) 393-0710
- NPI assigned
- Jul 20, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L#015363 | LA | Primary |
Addresses
Primary practice location
1112 Engineers Rd
Belle Chasse, LA 70037-3131
Mailing address
1112 Engineers Rd
Suite 3
Belle Chasse, LA 70037-3131
Phone (504) 393-0610
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548650831 | Other | LA | GROUP NPI |
| 1319627 | Medicaid | LA | |
| 1992704076 | Other | LA | INDIVIDUAL NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L#015363 | LA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Belle Chasse Family Medical Clinic | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Belle Chasse, LA
- NPI 1750492898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491350400000",
"number": "1992704076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 ENGINEERS RD",
"address_2": "SUITE 3",
"city": "BELLE CHASSE",
"state": "LA",
"postal_code": "700373131",
"telephone_number": "504-393-0610",
"fax_number": "504-393-0710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 ENGINEERS RD",
"city": "BELLE CHASSE",
"state": "LA",
"postal_code": "700373131",
"telephone_number": "504-393-0610",
"fax_number": "504-393-0710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIAMBELLUCA",
"first_name": "LAWRENCE",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2017-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "L#015363",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1548650831",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1319627",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1992704076",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belle Chasse, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.