Active NPI
William Todd Yates, MD
- Family Medicine Physician
- Monroe, LA
National Provider Identifier
1013920875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 15172R
- Practice address
- 4864 Jackson St
Monroe, LA 71202-6400 - Phone
- (318) 330-7626
- Fax
- (318) 330-7648
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 15172R | LA | |
| Family Medicine Physician | 207Q00000X | 15172R | LA | Primary |
Addresses
Primary practice location
4864 Jackson St
Monroe, LA 71202-6400
Mailing address
4864 Jackson St
Monroe, LA 71202-6400
Phone (318) 330-7626
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1159654 | Medicaid | LA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041112000066 | LA | Practitioner - Anesthesiology | 7517921331 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
503 McMillan Rd
West Monroe, LA 71291-5327
Phone (318) 329-4700
Hospital & facility affiliations
- Glenwood Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord North Texas, PLLC | Current | Accepting new patients | |
| Ed Physicians of West Louisiana, LLC | Current | Accepting new patients | |
| Correct Care, Inc. | Current | Accepting new patients | |
| Smso Anesthesia, LLC | Anesthesiology | Past | Accepting new patients |
| Anesthesia Associates of Ruston LLC | Anesthesiology | Past | Accepting new patients |
Locations
323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600
229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225
301 Memorial Dr
Donaldsonvlle, LA 70346
Phone (225) 473-7931
503 McMillan Rd
West Monroe, LA 71291
Phone (318) 329-4200
2106 Loop Rd
Winnsboro, LA 71295
Phone (318) 282-8482
Interoperability endpoints
- wyates@yourcarecommunity.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Ruston, LA
- NPI 1255352902
Anesthesiology
Hospital & facility affiliations 1
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": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418774400000",
"number": "1013920875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4864 JACKSON ST",
"city": "MONROE",
"state": "LA",
"postal_code": "712026400",
"telephone_number": "318-330-7626",
"fax_number": "318-330-7648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4864 JACKSON ST",
"city": "MONROE",
"state": "LA",
"postal_code": "712026400",
"telephone_number": "318-330-7626",
"fax_number": "318-330-7648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YATES",
"first_name": "WILLIAM",
"middle_name": "TODD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2014-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "LA",
"license": "15172R",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "15172R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1159654",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.