OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
NPI 1235912502
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 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 1235912502), doing business as Our Lady Of The Lake Children's Health Developmental Center At Mcmains, is a healthcare organization registered as a rehabilitation, comprehensive outpatient rehabilitation facility (corf) in Baton Rouge, Louisiana and active in the NPI registry since August 2023. The organization lists Jamy Richard, Vp Of Finance, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
868Medicare enrollment records show 868 clinicians reassign Medicare billing to Our Lady Of The Lake Physician Group LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 582 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 868Baton Rouge, LA 70806
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.
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 Our Lady Of The Lake Physician Group LLC's NPI number?
The NPI number for Our Lady Of The Lake Physician Group LLC is 1235912502. It was assigned to this organization in the NPPES registry on August 18, 2023. The provider is doing business as Our Lady of the Lake Children's Health Developmental Center at McMains.
Where is Our Lady Of The Lake Physician Group LLC located?
Our Lady Of The Lake Physician Group LLC is located at 1805 College Dr, Baton Rouge, LA 70808. The listed phone number is (225) 923-3420.
What is Our Lady Of The Lake Physician Group LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), with taxonomy code 261QR0401X.
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), 868 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, 6 practice at this address and 582 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Our Lady Of The Lake Physician Group LLC was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 1235912502
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) organization in Baton Rouge, Louisiana. Organization record, active in the CMS NPPES registry since August 18, 2023.
## Identity
- **NPI:** 1235912502 (Entity type: Organization)
- **Enumerated:** August 18, 2023
- **Primary specialty:** Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) · taxonomy 261QR0401X
- **Also known as:** Our Lady of the Lake Children's Health Developmental Center at McMains (Doing Business As)
- **Organization subpart:** Yes (part of Our Lady Of The Lake Physician Group Llc)
- **Authorized official:** Jamy Richard, VP OF FINANCE
## Practice location
- **Address:** 1805 COLLEGE DR, Baton Rouge, LA 70808-1919
- **Phone:** (225) 923-3420 · **Fax:** (225) 922-9316
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 868 clinicians in 52 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (214), Pediatric Medicine (114), Internal Medicine (94); 6 practice at this address and 582 within 10 miles; [full list](https://npiprofile.com/npi/1235912502/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 18, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1235912502) · Data from the CMS NPPES public registry.