Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gabriel L Dersam, MD

Individual provider Orthopaedic Surgery Physician · NPI 1487844650

Gabriel L Dersam, MD is an Orthopedic Surgery in Lafayette, Louisiana. Graduated from University of Arizona College of Medicine in 2000, 26 years ago. Practices with Lourdes Physician Group LLC, a 156-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois, Louisiana and Minnesota.

Years since qualifying
26
Trained at
University of Arizona College of Medicine
Licensed in
IL, LA, MN
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4704 Ambassador Caffery Pkwy Fl 1
Lafayette, LA 70508-6908
Phone: (337) 470-5920
Fax: (885) 431-6868
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1890 W Gauthier Rd Ste 115, Lake Charles, LA 70605-7180 — (337) 470-2907

Specialties & licences

Pediatric Orthopaedic Surgery Physician (primary) Taxonomy 207XP3100X · Licence MD.201862 (LA)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 103060 (MN)
Pediatric Orthopaedic Surgery Physician Taxonomy 207XP3100X · Licence 036136684 (IL)

Record details

NPI number1487844650
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 25, 2007
Last updated in NPPESDecember 19, 2022
Certification dateDecember 19, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Lourdes Physician Group Llc — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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