OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
NPI 1033494943
Internal Medicine in Baton Rouge, LA
About Our Lady Of The Lake Physician Group Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC (NPI 1033494943) is a healthcare organization registered as an internal medicine in Baton Rouge, Louisiana and active in the NPI registry since October 2011. The organization holds 3 active CLIA laboratory certificates and lists Jeffrey Limbocker, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 15
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Our Lady Of The Lake Physician Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
869Medicare enrollment records show 869 clinicians reassign Medicare billing to Our Lady Of The Lake Physician Group LLC, which bills Medicare for the services they deliver. Of these, 176 practice at this address and 602 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 52
Nearest to this location (20)
See all 869Baton Rouge, LA 70808
Baton Rouge, LA 70808
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 3
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 19D2302532
Our Lady Of The Lake Physician Group La Cardiology · Baton Rouge, LACertificate for Provider-Performed Microscopy Procedures (PPMP) 19D0462715
Our Lady Of The Lake Physician Group - Urology · Baton Rouge, LACertificate of Waiver 19D2171056
Our Lady Of The Lake Physician Group - Psychology · Baton Rouge, LAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Our Lady Of The Lake Physician Group LLC's NPI number?
The NPI number for Our Lady Of The Lake Physician Group LLC is 1033494943. It was assigned to this organization in the NPPES registry on October 12, 2011.
Where is Our Lady Of The Lake Physician Group LLC located?
Our Lady Of The Lake Physician Group LLC is located at 7777 Hennessy Blvd Ste 6002, Baton Rouge, LA 70808. The listed phone number is (225) 765-7727.
What is Our Lady Of The Lake Physician Group LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Our Lady Of The Lake Physician Group LLC enrolled in Medicare?
Yes. Our Lady Of The Lake Physician Group LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Our Lady Of The Lake Physician Group LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 869 clinicians in 52 Medicare specialties reassign their Medicare billing to Our Lady Of The Lake Physician Group LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (214), Pediatric Medicine (114) and Internal Medicine (94). Of these, 176 practice at this address and 602 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Our Lady Of The Lake Physician Group LLC hold CLIA laboratory certificates?
Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Our Lady Of The Lake Physician Group LLC accept?
Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Our Lady Of The Lake Physician Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Our Lady Of The Lake Physician Group LLC was last updated on October 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Our Lady Of The Lake Physician Group Llc · NPI 1033494943
Internal Medicine organization in Baton Rouge, Louisiana. Organization record, active in the CMS NPPES registry since October 12, 2011.
## Identity
- **NPI:** 1033494943 (Entity type: Organization)
- **Enumerated:** October 12, 2011
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Jeffrey Limbocker, CFO
## Practice location
- **Address:** 7777 HENNESSY BLVD, STE 6002, Baton Rouge, LA 70808-4300
- **Phone:** (225) 765-7727 · **Fax:** (225) 766-5645
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 869 clinicians in 52 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (214), Pediatric Medicine (114), Internal Medicine (94); 176 practice at this address and 602 within 10 miles; [full list](https://npiprofile.com/npi/1033494943/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 8, 2015
- **Other identifiers:** Medicare PIN 5DX80 (LA); Medicaid 2305042 (LA)
- **CLIA laboratory certificates:** 3 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1033494943) · Data from the CMS NPPES public registry.