CONSERVATIVE MEDICAL MANAGEMENT A
NPI 1376716761
Anesthesiology - Pain Medicine in Lafayette, LA

Active since April 08, 2008CLIA 19D2009419 · Waiver
1103 KALISTE SALOOM RD, SUITE 202, LAFAYETTE, LA 70508(337) 269-6335(337) 235-2765 Get Directions Write a Review

NPPES record last updated: December 9, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Conservative Medical Management A NPPES

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

CONSERVATIVE MEDICAL MANAGEMENT A (NPI 1376716761) is a healthcare organization registered as a pain medicine in Lafayette, Louisiana and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through July 1, 2028 and lists Mitzie B Duhon, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1376716761
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameCONSERVATIVE MEDICAL MANAGEMENT A
Location Address1103 KALISTE SALOOM RD, SUITE 202Lafayette, LA 70508-5783
Mailing Address1103 Kaliste Saloom Rd, Suite 202Lafayette, LA 70508-5783 · (337) 269-6335 · Fax (337) 235-2765
Fax(337) 235-2765
Organization SubpartNo
Authorized OfficialMitzie B DuhonOffice Manager · (337) 269-6335
Enumeration DateApril 8, 2008
Last NPPES UpdateDecember 9, 2009
✔ NPI 1376716761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in LA · L10009R
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
1103 KALISTE SALOOM RD, Lafayette, LA 70508

Other Identifiers 3

Medicaid1979732LA
Medicare UPINF72153LA
Medicare PIN5DD82LA

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)

Conservative Medical Management A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

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 IDO20080604000098Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Conservative Medical Management A, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1629511043
1103 KALISTE SALOOM RD STE 202
Lafayette, LA 70508
(337) 269-6335
✔ PECOSSame address
Interventional Pain Management
NPI 1669589164
1103 KALISTE SALOOM RD SUITE 202
Lafayette, LA 70508
(337) 269-6335
✔ PECOS✔ Accepts MedicareSame address
Pain Management
NPI 1154862480
108 RUE LOUIS XIV
Lafayette, LA 70508
(337) 235-8007
✔ PECOS✔ Accepts Medicare0.3 mi

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

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 19D2009419

Conservative Medical Management · Lafayette, LA
Active · expires Jul 1, 2028
CLIA Number19D2009419
Laboratory TypePhysician Office
Certificate Effective DateJuly 2, 2026
Certificate Expiration DateJuly 1, 2028
Laboratory DirectorJoseph T. Gillespie
Laboratory Phone(337) 269-6335
Laboratory LocationConservative Medical Management1103 Kaliste Saloom Rd, Suite 202, Lafayette, LA 70508
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Conservative Medical Management A's NPI number?

The NPI number for Conservative Medical Management A is 1376716761. It was assigned to this organization in the NPPES registry on April 8, 2008.

Where is Conservative Medical Management A located?

Conservative Medical Management A is located at 1103 Kaliste Saloom Rd Suite 202, Lafayette, LA 70508. The listed phone number is (337) 269-6335.

What is Conservative Medical Management A's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Conservative Medical Management A enrolled in Medicare?

Yes. Conservative Medical Management A is registered in the Medicare PECOS enrollment system.

When is Conservative Medical Management A'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 December 31, 2026. 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 Conservative Medical Management A?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Conservative Medical Management A, in Interventional Pain Management, Nurse Practitioner and Pain Management. 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Conservative Medical Management A hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2009419) is associated with this NPI, valid through July 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Conservative Medical Management A accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Conservative Medical Management A 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 Conservative Medical Management A was last updated on December 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.