ORTHO CLINIC - PROFESSIONAL MEDICAL
NPI 1528108503
Orthopaedic Surgery in New Iberia, LA

Active since February 07, 2007
516 JEFFERSON TERRRACE BLVD, SUITE 100, NEW IBERIA, LA 70560(337) 364-5310(337) 364-5313 Get Directions Write a Review

NPPES record last updated: January 16, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ortho Clinic - Professional Medical NPPES

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

ORTHO CLINIC - PROFESSIONAL MEDICAL (NPI 1528108503) is a healthcare organization registered as an orthopaedic surgery in New Iberia, Louisiana and active in the NPI registry since February 2007. The organization lists Edward J Lisecki, Physician, as its authorized official.

NPPES Registry Identity

NPI1528108503
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameORTHO CLINIC - PROFESSIONAL MEDICAL
Location Address516 JEFFERSON TERRRACE BLVD, SUITE 100New Iberia, LA 70560-4948
Mailing Address516 Jefferson Ter, Suite 100New Iberia, LA 70560-4980 · (337) 364-5310 · Fax (337) 364-5313
Fax(337) 364-5313
Organization SubpartNo
Authorized OfficialEdward J LiseckiPhysician · (337) 364-5310
Enumeration DateFebruary 7, 2007
Last NPPES UpdateJanuary 16, 2013
✔ NPI 1528108503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in LA · 26008
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
516 JEFFERSON TERRRACE BLVD, New Iberia, LA 70560

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ortho Clinic - Professional Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Ortho Clinic - Professional Medical, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Orthopedic Surgery
NPI 1336206077
516 JEFFERSON TER SUITE 100
New Iberia, LA 70560
(337) 364-5310
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1265021273
1101 S COLLEGE RD STE 401
Lafayette, LA 70503
(888) 339-0906
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1215180211
1151 MARGUERITE ST
Morgan City, LA 70380
(985) 380-2200
✔ PECOS✔ Accepts Medicare41 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 Ortho Clinic - Professional Medical's NPI number?

The NPI number for Ortho Clinic - Professional Medical is 1528108503. It was assigned to this organization in the NPPES registry on February 7, 2007.

Where is Ortho Clinic - Professional Medical located?

Ortho Clinic - Professional Medical is located at 516 Jefferson Terrrace Blvd Suite 100, New Iberia, LA 70560. The listed phone number is (337) 364-5310.

What is Ortho Clinic - Professional Medical's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Ortho Clinic - Professional Medical enrolled in Medicare?

Yes. Ortho Clinic - Professional Medical is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ortho Clinic - Professional Medical?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Ortho Clinic - Professional Medical, in Nurse Practitioner and Orthopedic Surgery. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ortho Clinic - Professional Medical accept?

Health plans from Blue Cross and Blue Shield of Louisiana list Ortho Clinic - Professional Medical 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 Ortho Clinic - Professional Medical was last updated on January 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.