Gabriel L. Dersam, MD
Pediatric Orthopaedic Surgery Physician · Lafayette, LA
Gabriel L. Dersam, MD is a pediatric orthopaedic surgery physician with a practice address in Lafayette, Louisiana, and NPI 1487844650, issued on Jul 25, 2007. Check the license (Louisiana MD.201862, as entered in NPPES) on the Louisiana State Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Gabriel L. Dersam
- Credential
- MD
- Primary taxonomy
- Pediatric Orthopaedic Surgery Physician 207XP3100X
- License numbers
- MD.201862 LA
036136684 IL
103060 MN
Self-reported in NPPES; status is on the state search - Practice location
- 4704 Ambassador Caffery Pkwy FL 1, Lafayette, LA 70508
- Phone
- (337) 470-5920
- Enumerated
- Jul 25, 2007
- Record last updated
- Dec 19, 2022
- Fax
- (885) 431-6868
- Medicaid ID
- 1033553 LA
- Medicare enrollment
- Enrolled (PECOS I20080506000465); accepts Medicare assignment
- Medical or professional school
- University Of Arizona College Of Medicine, 2000
- Entity
- Type 1 · individual
Also registered at 4704 Ambassador Caffery Pkwy FL 1
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Caroline Hanks, PA-CPhysician Assistant1215615539
Verify Gabriel L. Dersam in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersLouisiana State Board of Medical Examiners
Search for license MD.201862Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Lourdes Physician Group LLCLafayette, LA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Pediatric Orthopaedic Surgery Physician providers in Louisiana
There are 22 pediatric orthopaedic surgery physician records in Louisiana.
Other pediatric orthopaedic surgery physician records in Louisiana
- Osama AldowekatNew Orleans, LA1346123650
- James Bennett, MDNew Orleans, LA1538259478
- Tina Creekmore, M.D.Baton Rouge, LA1942410980
- Brad Culotta, M.D.Baton Rouge, LA1467655456
- Ryan Farmer, MDLafayette, LA1669715322
- John Faust, M.D.Baton Rouge, LA1063684314
- John Fox, M.D.Shreveport, LA1164438099
- Sushant Ghate, MDNew Orleans, LA1306193917
- Joseph Gonzales, MDNew Orleans, LA1003901539
- James Gutheil, MDLafayette, LA1497790414
Common questions
What is Gabriel L. Dersam, MD's NPI number?
Gabriel L. Dersam, MD's National Provider Identifier (NPI) is 1487844650, issued on Jul 25, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Gabriel L. Dersam, MD located?
The NPPES record lists a practice address at 4704 Ambassador Caffery Pkwy FL 1, Lafayette, LA, 70508. Phone: (337) 470-5920. Providers update this record themselves, so call before visiting.
How can I verify Gabriel L. Dersam, MD's license?
NPPES lists Louisiana license number MD.201862, as entered by the provider. Search the Louisiana State Board of Medical Examiners at https://www.lsbme.la.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.