BEAUREGARD INTERNAL MEDICINE CENTER, LLC
NPI 1588964175
Internal Medicine in Deridder, LA
About Beauregard Internal Medicine Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BEAUREGARD INTERNAL MEDICINE CENTER, LLC (NPI 1588964175) is a healthcare organization registered as an internal medicine in Deridder, Louisiana and active in the NPI registry since October 2010. The organization lists Darrell L. Kingham, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Beauregard Internal Medicine Center, Llc 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.
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Beauregard Internal Medicine Center, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 Beauregard Internal Medicine Center, LLC's NPI number?
The NPI number for Beauregard Internal Medicine Center, LLC is 1588964175. It was assigned to this organization in the NPPES registry on October 28, 2010.
Where is Beauregard Internal Medicine Center, LLC located?
Beauregard Internal Medicine Center, LLC is located at 495 W 8th St, Deridder, LA 70634. The listed phone number is (337) 462-7409.
What is Beauregard Internal Medicine Center, LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Beauregard Internal Medicine Center, LLC enrolled in Medicare?
Yes. Beauregard Internal Medicine Center, LLC is registered in the Medicare PECOS enrollment system.
When is Beauregard Internal Medicine Center, LLC'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 Beauregard Internal Medicine Center, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Beauregard Internal Medicine Center, 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 (5) and Internal Medicine (1). Of these, 2 practice at this address and 4 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 Beauregard Internal Medicine Center, LLC was last updated on November 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Beauregard Internal Medicine Center, Llc · NPI 1588964175
Internal Medicine organization in Deridder, Louisiana. Organization record, active in the CMS NPPES registry since October 28, 2010.
## Identity
- **NPI:** 1588964175 (Entity type: Organization)
- **Enumerated:** October 28, 2010
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** Yes (part of West Louisiana Health Services, Inc.)
- **Authorized official:** Darrell Kingham, CFO
## Practice location
- **Address:** 495 W 8TH ST, Deridder, LA 70634-5507
- **Phone:** (337) 462-7409 · **Fax:** (337) 462-7479
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Louisiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Internal Medicine (1); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 4, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1588964175) · Data from the CMS NPPES public registry.