NPIMap

Organization Active NPI

Acadiana Renal Physicians AMC

  • Nephrology Physician
  • Lafayette, LA
National Provider Identifier
1992747349
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
ACADIANA RENAL PHYSICIANS AMC
Practice address
300 W Saint Mary Blvd
Lafayette, LA 70506-4638
Phone
(337) 233-6593
Fax
(337) 235-1032
NPI assigned
Jun 11, 2006
Last updated
Mar 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Authorized official

Name
Dr. Maximo B Lamarche, M.D.NPI 1003852567
Title
Owner/President
Phone
(337) 984-7978

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

300 W Saint Mary Blvd
Lafayette, LA 70506-4638

Mailing address

300 W Saint Mary Blvd
Lafayette, LA 70506-4638
Phone (337) 233-6593

Other practice location 1

2804 Ambassador Caffery Pkwy
Lafayette, LA 70506-5906
Phone (337) 981-5156

Other practice location 2

224 N Lewis St
New Iberia, LA 70563-2841
Phone (337) 560-1144

Other identifiers 1

IdentifierTypeStateIssuer
1941905MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040505000949 LA Part B Supplier - Clinic/Group Practice 5890783070 Receives reassigned benefits from 21 practitioners
Practice locations: Lafayette, LA; New Iberia, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D1005562Acadiana Renal Physicians AMC2804 Ambassador Caffery Parkway, Lafayette, LA 70506Provider-performed microscopyMay 12, 2027

National Provider Directory

National Provider Directory

Locations

1341 E Laurel Ave
Eunice, LA 70535
Phone (337) 457-7300

3975 I 49 S Service Rd
Ste 232
Opelousas, LA 70570
Phone (337) 407-1777

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1992747349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W SAINT MARY BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064638",
            "telephone_number": "337-233-6593",
            "fax_number": "337-235-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W SAINT MARY BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064638",
            "telephone_number": "337-233-6593",
            "fax_number": "337-235-1032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2804 Ambassador Caffery Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705065906",
            "country_code": "US",
            "telephone_number": "337-981-5156",
            "fax_number": "337-981-0673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "224 N Lewis St",
            "address_purpose": "LOCATION",
            "city": "New Iberia",
            "state": "LA",
            "postal_code": "705632841",
            "country_code": "US",
            "telephone_number": "337-560-1144",
            "fax_number": "337-560-1102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACADIANA RENAL PHYSICIANS AMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "LAMARCHE",
        "authorized_official_first_name": "MAXIMO",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "337-984-7978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1941905",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.