LSUHSC FAMILY PRACTICE CENTER
NPI 1073514493
Family Medicine in Lake Charles, LA

Active since August 09, 2005
1525 OAK PARK BLVD, LAKE CHARLES, LA 70601(337) 494-6767(337) 494-6750 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 4, 2023, Jul 18, 2022, Aug 23, 2021 and 1 more (4 updates tracked since 2020).

About Lsuhsc Family Practice Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LSUHSC FAMILY PRACTICE CENTER (NPI 1073514493) is a healthcare organization registered as a family medicine in Lake Charles, Louisiana and active in the NPI registry since August 2005. The organization lists Dawn Johnson-hatcher, Cfo, as its authorized official.

NPPES Registry Identity

NPI1073514493
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLSUHSC FAMILY PRACTICE CENTER @ LCMH
Location Address1525 OAK PARK BLVDLake Charles, LA 70601-8849
Mailing AddressPo Box 123453, Dept 3453Dallas, TX 75312-0001 · (337) 494-2921 · Fax (337) 494-6523
Fax(337) 494-6750
Organization SubpartNo
Authorized OfficialDawn Johnson-hatcherCfo · (337) 494-2094
Enumeration DateAugust 9, 2005
Last NPPES UpdateDecember 4, 20234 updates tracked since enumeration
NPPES CertifiedDecember 4, 2023
✔ NPI 1073514493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1525 OAK PARK BLVD, Lake Charles, LA 70601

Other Names 1

Other NameLsuhsc Family Practice Center

Other Identifiers 1

Medicaid1947865LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lsuhsc Family Practice Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateLouisianaEnrollment IDO20040702000045Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Lsuhsc Family Practice Center, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 12 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Family Practice10
Emergency Medicine1
Pediatric Medicine1

Clinicians, nearest first (12)

Family Practice
NPI 1225535818
1525 OAK PARK BLVD
Lake Charles, LA 70601
(337) 494-6767
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1295795755
1525 OAK PARK BLVD
Lake Charles, LA 70601
(337) 494-6767
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1770613705
1525 OAK PARK BLVD
Lake Charles, LA 70601
(377) 494-6767
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1174272272
1525 OAK PARK BLVD
Lake Charles, LA 70601
(337) 494-2023
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1528069739
1525 OAK PARK BLVD
Lake Charles, LA 70601
(337) 494-6767
✔ PECOSSame address
Emergency Medicine
NPI 1619915733
1525 OAK PARK BLVD
Lake Charles, LA 70601
(337) 494-6767
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1699973222
1525 OAK PARK BLVD
Lake Charles, LA 70601
(337) 494-6767
✔ PECOSSame address
Family Practice
NPI 1336129444
1525 OAK PARK BLVD
Lake Charles, LA 70601
(337) 494-6767
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1609881440
1525 OAK PARK BLVD
Lake Charles, LA 70601
(337) 494-6767
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1912999707
1525 OAK PARK BLVD
Lake Charles, LA 70601
(337) 494-6767
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1386105740
1525 OAK PARK BLVD
Lake Charles, LA 70601
(337) 494-6767
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1205094687
4918 E WESTRIDGE PARK DR
Lake Charles, LA 70605
(337) 478-3182
✔ PECOS✔ Accepts Medicare5.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently 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 Lsuhsc Family Practice Center @ Lcmh's NPI number?

The NPI number for Lsuhsc Family Practice Center @ Lcmh is 1073514493. It was assigned to this organization in the NPPES registry on August 9, 2005. The provider is also known as Lsuhsc Family Practice Center.

Where is Lsuhsc Family Practice Center @ Lcmh located?

Lsuhsc Family Practice Center @ Lcmh is located at 1525 Oak Park Blvd, Lake Charles, LA 70601. The listed phone number is (337) 494-6767.

What is Lsuhsc Family Practice Center @ Lcmh's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lsuhsc Family Practice Center @ Lcmh enrolled in Medicare?

Yes. Lsuhsc Family Practice Center @ Lcmh is registered in the Medicare PECOS enrollment system.

When is Lsuhsc Family Practice Center @ Lcmh's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Louisiana, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Lsuhsc Family Practice Center @ Lcmh?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to Lsuhsc Family Practice Center @ Lcmh. 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 Family Practice (10), Emergency Medicine (1) and Pediatric Medicine (1). Of these, 11 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lsuhsc Family Practice Center @ Lcmh accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Lsuhsc Family Practice Center @ Lcmh 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 Lsuhsc Family Practice Center @ Lcmh was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.