Gabriel Dersam, MD
NPI 1487844650 · Pediatric Orthopaedic Surgery Physician · Lafayette, LA
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gabriel Dersam, MD is a Pediatric Orthopaedic Surgery Physician provider in Lafayette, LA (NPI 1487844650).
Provider details
- NPI number
- 1487844650
- Entity type
- Individual
- Primary specialty
- Pediatric Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 103060 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1890 W Gauthier Rd Ste 115Lake Charles, LA 70605-7180Phone: (337) 470-2907Fax: (855) 431-6868
Registry dates
- Enumerated
- 2007-07-25
- Last updated
- 2022-12-19
- Certified
- 2022-12-19
Frequently asked questions
- What is Gabriel Dersam's NPI number?
- Gabriel Dersam's National Provider Identifier (NPI) is 1487844650, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gabriel Dersam's specialty?
- Gabriel Dersam is listed in the NPPES registry with a primary specialty of Pediatric Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Gabriel Dersam located?
- Gabriel Dersam's practice location on file with NPPES is 4704 Ambassador Caffery Pkwy Fl 1, Lafayette, LA 70508-6908.
- What is Gabriel Dersam's phone number?
- The practice phone number listed in the NPPES registry for Gabriel Dersam is (337) 470-5920.
- Does Gabriel Dersam accept Medicare?
- Gabriel Dersam is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gabriel Dersam's NPI active?
- Yes — Gabriel Dersam's NPI (1487844650) is active in the NPPES registry as of the last update on 2022-12-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.