Individual provider Active NPI

Lawrence A. Giambelluca, M.D.

  • Family Medicine Physician
  • Belle Chasse, LA
National Provider Identifier
1992704076
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L#015363 Issued in LA
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

Updated by the provider on Apr 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1548650831OtherLAGROUP NPI
1319627MedicaidLA
1992704076OtherLAINDIVIDUAL 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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L#015363LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Belle Chasse Family Medical Clinic Family Medicine PastSince Oct 1, 2000 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.

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.

Verify at the official NPI Registry.