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ST. MARYGRACE FAMILY PRACTICE, LLC
NPI 1639301732
Family Medicine in Opelousas, LA

Active since August 23, 2009
1270 ATTAKAPAS DR, SUITE 404, OPELOUSAS, LA 70570(337) 678-0918(337) 678-0927 Get Directions Write a Review

NPPES record last updated: March 18, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About St. Marygrace Family Practice, Llc NPPES

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

ST. MARYGRACE FAMILY PRACTICE, LLC (NPI 1639301732) is a healthcare organization registered as a family medicine in Opelousas, Louisiana and active in the NPI registry since August 2009. The organization lists Adenike A Tinubu, Owner / Operator / Physician, as its authorized official.

NPPES Registry Identity

NPI1639301732
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameST. MARYGRACE FAMILY PRACTICE, LLC
Location Address1270 ATTAKAPAS DR, SUITE 404Opelousas, LA 70570-6549
Mailing Address1270 Attakapas Dr, Suite 404Opelousas, LA 70570-6549 · (337) 678-0918 · Fax (337) 678-0927
Phone(337) 678-0918
Fax(337) 678-0927
Organization SubpartNo
Authorized OfficialAdenike A TinubuOwner / Operator / Physician · (337) 678-0918
Enumeration DateAugust 23, 2009
Last NPPES UpdateMarch 18, 2011
✔ NPI 1639301732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in LA · 202981
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1270 ATTAKAPAS DR, Opelousas, LA 70570
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Other Identifiers 3

Medicaid4507245LA
Other1306055652LA · Dr's Npi
Medicare PIN4M291DK33LA

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

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

St. Marygrace Family Practice, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to St. Marygrace Family Practice, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Adenike Tinubu, M.D.
Family Practice
NPI 1306055652
1270 ATTAKAPAS DR SUITE 404
Opelousas, LA 70570
(337) 678-0918
✔ PECOS✔ Accepts MedicareSame address

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 St. Marygrace Family Practice, LLC's NPI number?

The NPI number for St. Marygrace Family Practice, LLC is 1639301732. It was assigned to this organization in the NPPES registry on August 23, 2009.

Where is St. Marygrace Family Practice, LLC located?

St. Marygrace Family Practice, LLC is located at 1270 Attakapas Dr Suite 404, Opelousas, LA 70570. The listed phone number is (337) 678-0918.

What is St. Marygrace Family Practice, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is St. Marygrace Family Practice, LLC enrolled in Medicare?

Yes. St. Marygrace Family Practice, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St. Marygrace Family Practice, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to St. Marygrace Family Practice, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does St. Marygrace Family Practice, LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list St. Marygrace Family Practice, LLC 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 St. Marygrace Family Practice, LLC was last updated on March 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.