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ADULT MEDICINE AND DIAGNOSTIC CENTER
NPI 1902173271
Clinic/Center in Gonzales, LA

Active since November 30, 2011CLIA 19D0972006 · Waiver
2211 S BURNSIDE AVE STE 4, GONZALES, LA 70737(225) 647-1947(225) 644-3943 Get Directions Write a Review

NPPES record last updated: September 2, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Adult Medicine And Diagnostic Center NPPES

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

ADULT MEDICINE AND DIAGNOSTIC CENTER (NPI 1902173271) is a healthcare organization registered as a clinic/center in Gonzales, Louisiana and active in the NPI registry since November 2011. The organization holds a CLIA Waiver certificate valid through March 27, 2028 and lists Hanna Kalinowska Vazquez, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1902173271
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameADULT MEDICINE AND DIAGNOSTIC CENTER
Location Address2211 S BURNSIDE AVE STE 4Gonzales, LA 70737-4634
Mailing Address2211 S Burnside Ave Ste 4Gonzales, LA 70737-4634 · (225) 647-1947 · Fax (225) 644-3943
Phone(225) 647-1947
Fax(225) 644-3943
Organization SubpartNo
Authorized OfficialHanna Kalinowska VazquezOffice Manager · (225) 647-1947
Enumeration DateNovember 30, 2011
Last NPPES UpdateSeptember 2, 2016
✔ NPI 1902173271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in LA · 022083
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2211 S BURNSIDE AVE STE 4, Gonzales, LA 70737
Open in Google Maps ↗

Other Identifiers 3

Medicare UPING58731LA
Medicare PIN5Y810LA
Medicaid1495859LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, 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)

Adult Medicine And Diagnostic Center 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 Adult Medicine And Diagnostic Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Carlos Vazquez Borrero, M.D.
Internal Medicine
NPI 1326076266
2211 S BURNSIDE AVE STE 4
Gonzales, LA 70737
(225) 647-1947
✔ 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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D0972006

Adult Medicine · Gonzales, LA
Active · expires Mar 27, 2028
CLIA Number19D0972006
Laboratory TypePhysician Office
Certificate Effective DateMarch 28, 2026
Certificate Expiration DateMarch 27, 2028
Laboratory DirectorCarlos R. Vazquez
Laboratory Phone(225) 647-1947
Laboratory LocationAdult Medicine2211 South Burnside Ave, Suite 4, Gonzales, LA 70737
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Adult Medicine And Diagnostic Center's NPI number?

The NPI number for Adult Medicine And Diagnostic Center is 1902173271. It was assigned to this organization in the NPPES registry on November 30, 2011.

Where is Adult Medicine And Diagnostic Center located?

Adult Medicine And Diagnostic Center is located at 2211 S Burnside Ave Ste 4, Gonzales, LA 70737. The listed phone number is (225) 647-1947.

What is Adult Medicine And Diagnostic Center's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Adult Medicine And Diagnostic Center enrolled in Medicare?

Yes. Adult Medicine And Diagnostic Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Adult Medicine And Diagnostic Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Adult Medicine And Diagnostic Center. 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.

Does Adult Medicine And Diagnostic Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D0972006) is associated with this NPI, valid through March 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Adult Medicine And Diagnostic Center accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Adult Medicine And Diagnostic Center 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 Adult Medicine And Diagnostic Center was last updated on September 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.