LAKE CHARLES MEMORIAL HEART AND VASCULAR CENTER
NPI 1407808405
Internal Medicine - Cardiovascular Disease in Lake Charles, LA

Active since May 17, 2006
1717 OAK PARK BLVD FL 2, LAKE CHARLES, LA 70601(337) 494-3278(337) 494-3240 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 25, 2025, Dec 4, 2023, Jul 18, 2022 and 2 more (5 updates tracked since 2019).

About Lake Charles Memorial Heart And Vascular Center NPPES

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

LAKE CHARLES MEMORIAL HEART AND VASCULAR CENTER (NPI 1407808405), doing business as Heart & Vascular Center, is a healthcare organization registered as a cardiovascular disease in Lake Charles, Louisiana and active in the NPI registry since May 2006. The organization maintains 4 additional practice locations and lists Dawn Johnson-hatcher, Cfo, as its authorized official.

NPPES Registry Identity

NPI1407808405
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameLAKE CHARLES MEMORIAL HEART AND VASCULAR CENTER
Location Address1717 OAK PARK BLVD FL 2Lake Charles, LA 70601-8990
Mailing AddressPo Box 122152, Dept 2152 Dept 2152Dallas, TX 75312-2152 · (337) 494-2921 · Fax (337) 494-6523
Fax(337) 494-3240
Organization SubpartYesParent: Southwest Louisiana Health Care System, Inc
Authorized OfficialDawn Johnson-hatcherCfo · (337) 494-2094
Enumeration DateMay 17, 2006
Last NPPES UpdateMarch 25, 20255 updates tracked since enumeration
NPPES CertifiedMarch 25, 2025
✔ NPI 1407808405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1717 OAK PARK BLVD FL 2, Lake Charles, LA 70601

Other Names 1

Doing Business AsHeart & Vascular Center

Secondary Practice Locations 4

Location 1913 E Kent DrSulphur, LA 70663-5007 · Phone (337) 494-3278 · Fax (337) 494-3240
Location 2109 W 4th StDeridder, LA 70634-4849 · Phone (337) 494-3278 · Fax (337) 494-3240
Location 31322 Elton Rd Ste EJennings, LA 70546-4100 · Phone (337) 494-3278 · Fax (337) 494-3240
Location 4122 W 4th StDequincy, LA 70633-3508 · Phone (337) 494-3278 · Fax (337) 494-3240

Other Identifiers 2

OtherCE9693LA · Railroad Medicare
Medicaid1948098LA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Lake Charles Memorial Heart And Vascular Center 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 IDO20040901001355Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to Lake Charles Memorial Heart And Vascular Center, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 13 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Nurse Practitioner8
Cardiovascular Disease (Cardiology)4
Interventional Cardiology2
Cardiac Surgery1
Internal Medicine1

Clinicians, nearest first (16)

Cardiovascular Disease (Cardiology)
NPI 1831573013
1717 OAK PARK BLVD FL 2
Lake Charles, LA 70601
(337) 494-3278
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1477116036
1717 OAK PARK BLVD FL 2
Lake Charles, LA 70601
(337) 494-3278
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1760454391
1717 OAK PARK BLVD FL 2
Lake Charles, LA 70601
(337) 494-3278
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1124755483
1717 OAK PARK BLVD FL 2
Lake Charles, LA 70601
(337) 494-3278
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1265465017
1717 OAK PARK BLVD FL 2
Lake Charles, LA 70601
(337) 494-3278
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1851540736
1717 OAK PARK BLVD FL 2
Lake Charles, LA 70601
(337) 494-3278
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1598052052
1717 OAK PARK BLVD FL 2
Lake Charles, LA 70601
(337) 494-3278
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1659757706
1717 OAK PARK BLVD FL 2
Lake Charles, LA 70601
(337) 494-6799
✔ PECOS✔ Accepts MedicareSame address
Cardiac Surgery
NPI 1770582223
1717 OAK PARK BLVD FL 2
Lake Charles, LA 70601
(337) 494-6799
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1447148945
1717 OAK PARK BLVD FL 2
Lake Charles, LA 70601
(337) 494-3278
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1861599847
1717 OAK PARK BLVD FL 2
Lake Charles, LA 70601
(337) 494-3278
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1285427682
1701 OAK PARK BLVD
Lake Charles, LA 70601
(337) 494-3000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1326422924
1747 IMPERIAL BLVD
Lake Charles, LA 70605
(337) 721-7236
✔ PECOS✔ Accepts Medicare3.3 mi
Cardiovascular Disease (Cardiology)
NPI 1316929813
1322 ELTON RD STE E
Jennings, LA 70546
(337) 824-6835
✔ PECOS✔ Accepts Medicare32 mi
Interventional Cardiology
NPI 1366449209
315 RUE LOUIS XIV
Lafayette, LA 70508
(337) 269-9777
✔ PECOS✔ Accepts Medicare70 mi
Nurse Practitioner
NPI 1275167686
1648 HAMILTON ST
Allentown, PA 18102
(610) 628-8038
✔ PECOS✔ Accepts Medicare1,226 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 Lake Charles Memorial Heart And Vascular Center's NPI number?

The NPI number for Lake Charles Memorial Heart And Vascular Center is 1407808405. It was assigned to this organization in the NPPES registry on May 17, 2006. The provider is doing business as Heart & Vascular Center.

Where is Lake Charles Memorial Heart And Vascular Center located?

Lake Charles Memorial Heart And Vascular Center is located at 1717 Oak Park Blvd Fl 2, Lake Charles, LA 70601. The listed phone number is (337) 494-3278.

What is Lake Charles Memorial Heart And Vascular Center's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Lake Charles Memorial Heart And Vascular Center enrolled in Medicare?

Yes. Lake Charles Memorial Heart And Vascular Center is registered in the Medicare PECOS enrollment system.

When is Lake Charles Memorial Heart And Vascular Center'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 Lake Charles Memorial Heart And Vascular Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 5 Medicare specialties reassign their Medicare billing to Lake Charles Memorial Heart And Vascular Center. 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 (8), Cardiovascular Disease (Cardiology) (4) and Interventional Cardiology (2). Of these, 12 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lake Charles Memorial Heart And Vascular Center 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 Lake Charles Memorial Heart And Vascular Center 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 Lake Charles Memorial Heart And Vascular Center was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.