DR. LIAUTAUD PROPHETE DO
NPI 1649112715
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 08, 2026PECOS Enrolled
2601 HOLME AVE, PHILADELPHIA, PA 19152(215) 335-6000 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Liautaud Prophete Do NPPES

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

DR. LIAUTAUD PROPHETE DO (NPI 1649112715) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649112715
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. LIAUTAUD PROPHETECredential: DO
Location Address2601 HOLME AVEPhiladelphia, PA 19152-2096
Mailing Address2601 Holme AvePhiladelphia, PA 19152-2096
Sole ProprietorNo
Enumeration DateApril 8, 2026
NPPES CertifiedApril 8, 2026
NPI 1649112715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2601 HOLME AVE, Philadelphia, PA 19152

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Liautaud Prophete Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Wound Care)
2601 HOLME AVE
PHILADELPHIA, PA 19152
Physical Medicine & Rehabilitation
2601 HOLME AVE
PHILADELPHIA, PA 19152
Pathology (Clinical Pathology/Laboratory Medicine)
2601 HOLME AVE
PHILADELPHIA, PA 19152
Hospitalist
2601 HOLME AVE
PHILADELPHIA, PA 19152
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2601 HOLME AVE, MARIAN BLDG., GROUND FLOOR
PHILADELPHIA, PA 19152
Emergency Medicine
2601 HOLME AVE
PHILADELPHIA, PA 19152
Internal Medicine
2601 HOLME AVE
PHILADELPHIA, PA 19152
Internal Medicine (Hematology & Oncology)
2601 HOLME AVE
PHILADELPHIA, PA 19152

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 Liautaud Prophete's NPI number?

The NPI number for Liautaud Prophete is 1649112715. It was assigned to this individual provider in the NPPES registry on April 8, 2026.

Where is Liautaud Prophete located?

Liautaud Prophete practices at 2601 Holme Ave, Philadelphia, PA 19152. The listed phone number is (215) 335-6000.

What is Liautaud Prophete's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Liautaud Prophete enrolled in Medicare?

Yes. Liautaud Prophete is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Liautaud Prophete was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.