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OFUNDEM ROSE GWAN MD
NPI 1245440940
General Practice in Ruston, LA

Active since May 23, 2007PECOS Enrolled
1406 S VIENNA ST, RUSTON, LA 71270(318) 232-2456(318) 232-2457 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 23, 2023, Dec 9, 2022 (2 updates tracked since 2022).

About Ofundem Rose Gwan Md NPPES

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

OFUNDEM ROSE GWAN MD (NPI 1245440940) is an individual general practice provider in Ruston, Louisiana, licensed in Louisiana (MD.203609) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245440940
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameOFUNDEM ROSE GWANCredential: MD
Location Address1406 S VIENNA STRuston, LA 71270-6428
Mailing Address282 John Wayne DrLafayette, LA 70508-4918 · (337) 371-9670 · Fax (318) 232-2457
Phone(318) 232-2456
Fax(318) 232-2457
Sole ProprietorYes
Enumeration DateMay 23, 2007
Last NPPES UpdateJanuary 23, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2023
✔ NPI 1245440940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in LA · MD.203609
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedInternal MedicineTaxonomy 207R00000X · License MD.203609 (LA)
1406 S VIENNA ST, Ruston, LA 71270
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Other Identifiers 1

Medicaid1459330LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ofundem Rose Gwan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ofundem Gwan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Main Street Physician Services LLC
181 mi
Hospitalist
2315 E MAIN ST
New Iberia, LA 70560
  • Reassigned Medicare billing, Louisiana enrollment
  • 93 clinicians in this Medicare group
NPI 1396150785 (800) 893-9698

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

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier24 claims24 services$16.87 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers26 claims26 services$82.55 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELICA BOSTON RSW
Case Manager/Care Coordinator
1406 S VIENNA ST
RUSTON, LA 71270
Lincoln Parish (318) 224-9200

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 Ofundem Gwan's NPI number?

The NPI number for Ofundem Gwan is 1245440940. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Ofundem Gwan located?

Ofundem Gwan practices at 1406 S Vienna St, Ruston, LA 71270. The listed phone number is (318) 232-2456.

What is Ofundem Gwan's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Ofundem Gwan enrolled in Medicare?

Yes. Ofundem Gwan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ofundem Gwan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ofundem Gwan reassigns Medicare benefits to Main Street Physician Services LLC (New Iberia, LA). The 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 Ofundem Gwan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ofundem Gwan accept?

Health plans from Blue Cross and Blue Shield of Texas and HMO Louisiana list Ofundem Gwan 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 Ofundem Gwan was last updated on January 23, 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.