Cityblock Medical Practice La, LLC
NPI 1790447373ActiveOrganization· General Practice· Lafayette, LA
General Practice in Lafayette, Louisiana, registered in NPPES in October 2021. The authorized official on file is Devon Minerve, Corporate Counsel.
Overview
| NPI | 1790447373 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 11, 2021 |
| Last updated in NPPES | Oct 11, 2021 |
| Certified by provider | Oct 7, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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