Raphael J Higginbotham
KIDNEY TREATMENT OPTIONS CENTER OF LAFAYETTE, LLC


Address: 301 Alcide Dominique Dr, Lafayette, LA 70506-1052
Phone: 3372347123

Raphael J Higginbotham (NPI# 1477507531, PAC ID# 1355344276) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.

Physician Overview

Nation Provider ID (NPI) 1477507531
PAC ID by PECOS 1355344276
Professional Enrollment ID I20060815000385
Full Name Raphael J Higginbotham
Organization Legal Name KIDNEY TREATMENT OPTIONS CENTER OF LAFAYETTE, LLC
Address 301 Alcide Dominique Dr
Lafayette
LA 70506-1052
Phone Number 3372347123
Gender M
Credential MD
Medical School LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year 2001
Primary Specialty NEPHROLOGY
Secondary Specialties INTERNAL MEDICINE
Group Practice PAC ID 8921106485
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
190002 LAFAYETTE GENERAL MEDICAL CENTER
190017 OPELOUSAS GENERAL HEALTH SYSTEM
190064 OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER
190102 OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC
191302 ST MARTIN HOSPITAL

Other Locations

Address Phone Organization
111 Saint Louis St, Lafayette, LA 70506-4538 3374565500 AZAR AND LAHOOD ENTERPRISES LLC
301 Alcide Dominique Dr, Lafayette, LA 70506-1052 3372347123 KIDNEY TREATMENT OPTIONS CENTER OF LAFAYETTE, LLC
927 E Prudhomme St, Opelousas, LA 70570-8240 3374079005 KIDNEY TREATMENT OPTIONS CENTER OF LAFAYETTE, LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_047_overall Care Plan 96%
MIPS_EC_047_overall Care Plan 96%

Organization Information

Organization Legal Name KIDNEY TREATMENT OPTIONS CENTER OF LAFAYETTE, LLC
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Michael K Liu Nephrology Kidney Treatment Options Center of Lafayette, LLC 301 Alcide Dominique Dr, Lafayette, LA 70506-1052

Office Location

Street Address 301 ALCIDE DOMINIQUE DR
City LAFAYETTE
State LA
Zip 70506-1052

Physicians in the same location

Name Specialty Organization Address
Michael K Liu Nephrology Kidney Treatment Options Center of Lafayette, LLC 301 Alcide Dominique Dr, Lafayette, LA 70506-1052

Physicians in the same zip code

Name Specialty Organization Address
Daniel J Frey General Surgery 501 W St Mary Blvd, Suite 420, Lafayette, LA 70506
Danna P Halpin Clinical Social Worker 2310 W Saint Mary Blvd, Lafayette, LA 70506-2512
John J Broussard Physical Therapy Mts-lgh Therapy Services LLC 2115 Dulles Dr, Lafayette, LA 70506-2652
Roberta B Schexnailder Physical Therapy Mts-lgh Therapy Services LLC 2115 Dulles Dr, Lafayette, LA 70506-2652
Maisie M Hargett Physical Therapy Mts-lgh Therapy Services LLC 2115 Dulles Dr, Lafayette, LA 70506-2652
Michael N Sheffield Physical Therapy Mts-lgh Therapy Services LLC 2115 Dulles Dr, Lafayette, LA 70506-2652
Amanda H Wallace Physical Therapy Mts-lgh Therapy Services LLC 2115 Dulles Dr, Lafayette, LA 70506-2652
Roxanne H Touchet Physical Therapy Mts-lgh Therapy Services LLC 2115 Dulles Dr, Lafayette, LA 70506-2652
Brian M Soignier Physical Therapy Mts-lgh Therapy Services LLC 2115 Dulles Dr, Lafayette, LA 70506-2652
Ellen E Devalcourt Physical Therapy Mts-lgh Therapy Services LLC 2115 Dulles Dr, Lafayette, LA 70506-2652
Find all physicians in zip 70506

Competitor

Search similar physicians

City LAFAYETTE
Zip Code 70506
Specialty NEPHROLOGY
City + Specialty LAFAYETTE + NEPHROLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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