Individual provider Active NPI

Roderick A. Hart Sr., M.D.

  • Family Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1003084617
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
GETP Issued in LA
Practice address
3801 North Blvd
Baton Rouge, LA 70806-3825
Phone
(601) 454-9462
NPI assigned
Feb 16, 2008
Last updated
Feb 8, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X GETP LA Primary

Addresses

Primary practice location

3801 North Blvd
Baton Rouge, LA 70806-3825

Mailing address

3801 North Blvd
Baton Rouge, LA 70806-3825
Phone (601) 454-9462

Other identifiers 3

IdentifierTypeStateIssuer
1091774MedicaidLA
P00775057OtherLARAILROAD MCARE THRU PEPA
1-09177-4MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080806000132 LA Practitioner - Emergency MedicinePractitioner - Family Practice 6901970169 Reassigns benefits to 11 organizations
I20101215001196 MS Practitioner - Family PracticePractitioner - Diagnostic RadiologyPractitioner - Emergency Medicine 6901970169 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leatherwood Emergency Group LLCGroup PAC ID 0749521250, 13 clinicians

Practice addresses (Care Compare)

130 Hospital Dr
Oakdale, LA 71463-3035
Phone (318) 215-3084

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
GETPLAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eunice Emergency Group LLC CurrentSince Jan 22, 2016 Accepting new patients
Saline Emergency Group, LLC CurrentSince Oct 29, 2022 Accepting new patients
Keystone Medical Services of Ms, Inc CurrentSince Oct 27, 2015 Accepting new patients
Jena Ess LLC CurrentSince Aug 1, 2015 Accepting new patients
Kisatchie Emergency Group, LLC CurrentSince Mar 30, 2019 Accepting new patients
St. John Emergency Group LLC CurrentSince Dec 19, 2016 Accepting new patients
Derussy Emergency Group, LLC CurrentSince Mar 30, 2019 Accepting new patients
United Emergency Services, Inc. CurrentSince Dec 1, 2011 Accepting new patients
Southeastern Emergency Physicians LLC CurrentSince Dec 3, 2012 Accepting new patients
Teche Emergency Group LLC CurrentSince May 2, 2015 Accepting new patients
Hodges Emergency Group, LLC CurrentSince Apr 1, 2019 Accepting new patients
Oakdale Ess LLC CurrentSince Mar 1, 2015 Accepting new patients
Leatherwood Emergency Group, LLC CurrentSince Mar 26, 2019 Accepting new patients
United Emergency Services of Mississippi CurrentSince Dec 1, 2011 Accepting new patients
Paragon Contracting Services LLC Past Accepting new patients
Hospital Service District No. 2 Past Accepting new patients
C & M Medical Services, Inc. Past Accepting new patients
Professional Emergency Physician Associates, LLC PastSince Jul 25, 2019 Accepting new patients

Locations

3501 Highway 190
Eunice, LA 70535
Phone (337) 580-7500

1097 Northwest Blvd
Franklin, LA 70538
Phone (337) 355-1269

187 Ninth St
Jena, LA 71342
Phone (318) 992-9200

1900 W Airline Hwy
La Place, LA 70068
Phone (985) 652-7000

1020 W Fertitta Blvd
Leesville, LA 71446
Phone (337) 239-5278

207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109

240 Highland Dr
Many, LA 71449
Phone (318) 256-5691

4231 Highway 1192
Marksville, LA 71351
Phone (318) 240-6000

130 Hospital Dr
Oakdale, LA 71463
Phone (318) 215-3084

301 W Boundary Ave
Winnfield, LA 71483
Phone (318) 628-2721

100 Hospital St
Booneville, MS 38829
Phone (662) 720-5000

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

2520 5th St N
Columbus, MS 39705
Phone (662) 224-1000

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

17304 Preston Rd
Ste 1400
Dallas, TX 75252
Phone (972) 934-3200

Interoperability endpoints

  • Direct secure messaging: avhrhart@yourcarecommunity.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/562bb897-15aa-4c27-8c59-a5185eb0d309/
  • FHIR API: https://fhir.yourcareuniverse.net/tenant/04120e6f-af8f-460c-a7bc-f60aa4706e05
  • FHIR API: https://fhir.yourcareuniverse.net/tenant/de0b28e5-5f18-46fc-b42e-e599a0198d5a

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265587200000",
    "number": "1003084617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 NORTH BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063825",
            "telephone_number": "601-454-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 NORTH BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063825",
            "telephone_number": "601-454-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "RODERICK",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-16",
        "last_updated": "2010-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "GETP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1091774",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCARE THRU PEPA",
            "identifier": "P00775057",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1-09177-4",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.