Individual provider Active NPI

Charles P Bolotte, MD

  • Family Medicine Physician
  • Napoleonville, LA
National Provider Identifier
1003884388
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
012686 Issued in LA
Practice address
141 Highway 402
Napoleonville, LA 70390-2217
Phone
(985) 369-6027
Fax
(985) 447-8556
NPI assigned
Mar 10, 2006
Last updated
May 1, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2014

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 012686 LA Primary

Addresses

Primary practice location

141 Highway 402
Napoleonville, LA 70390-2217

Mailing address

141 Highway 402
Napoleonville, LA 70390-2217
Phone (985) 369-6027

Other identifiers 1

IdentifierTypeStateIssuer
1160709MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051115000803 LA Practitioner - Family Practice 2860411287 Receives reassigned benefits from 1 practitioner
Practice locations: Napoleonville, LA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

141 Hwy 402
Napoleonville, LA 70390-2217
Phone (985) 369-6027

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision20
Removal of tissue30
Removal of skin lesions46
Removal of nail tissue1-10
Removal or shaving of skin growth37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
012686LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge Cardiology Center PastSince Feb 4, 2019 Accepting new patients
Our Lady of the Lake Hospital Inc Past Accepting new patients

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1003884388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 HIGHWAY 402",
            "city": "NAPOLEONVILLE",
            "state": "LA",
            "postal_code": "703902217",
            "telephone_number": "985-369-6027",
            "fax_number": "985-447-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 HIGHWAY 402",
            "city": "NAPOLEONVILLE",
            "state": "LA",
            "postal_code": "703902217",
            "telephone_number": "985-369-6027",
            "fax_number": "985-447-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLOTTE",
        "first_name": "CHARLES",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "012686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1160709",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Napoleonville, LA

Sources for this page

Verify at the official NPI Registry.