MRS. BOITUMELO PELOKGALE KGOADI RPT
NPI 1740375955
Specialist in Lafayette, LA

Active since October 04, 2006
3021 VEROT SCHOOL ROAD, LAFAYETTE, LA 70508(337) 857-6178(337) 857-6592 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Boitumelo Pelokgale Kgoadi Rpt NPPES

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

MRS. BOITUMELO PELOKGALE KGOADI RPT (NPI 1740375955) is an individual specialist in Lafayette, Louisiana, licensed in Louisiana (01833F) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1740375955
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMRS. BOITUMELO PELOKGALE KGOADICredential: RPT
Location Address3021 VEROT SCHOOL ROADLafayette, LA 70508-8025
Mailing Address121 Cresthill DrYoungsville, LA 70592-5656 · (337) 356-8835 · Fax (337) 857-6592
Fax(337) 857-6592
Sole ProprietorNo
Enumeration DateOctober 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1740375955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in LA · 01833F
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3021 VEROT SCHOOL ROAD, Lafayette, LA 70508

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Boitumelo Pelokgale Kgoadi Rpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Boitumelo Kgoadi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
127 W BROAD ST, SUITE 850
Lake Charles, LA 70601
  • Reassigned Medicare billing, Louisiana enrollment
  • 77 clinicians in this Medicare group

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 Boitumelo Kgoadi's NPI number?

The NPI number for Boitumelo Kgoadi is 1740375955. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Boitumelo Kgoadi located?

Boitumelo Kgoadi practices at 3021 Verot School Road, Lafayette, LA 70508. The listed phone number is (337) 857-6178.

What is Boitumelo Kgoadi's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Boitumelo Kgoadi enrolled in Medicare?

Yes. Boitumelo Kgoadi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Boitumelo Kgoadi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Boitumelo Kgoadi reassigns Medicare benefits to Synergy Care Southeast LLC (Lake Charles, LA). The 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 Boitumelo Kgoadi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Boitumelo Kgoadi was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.