Individual provider Active NPI

Katie Brillhart Taranto, M.D.

  • Internal Medicine Physician
  • Covington, LA
National Provider Identifier
1023259090
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
203881 Issued in LA
Practice address
80 Gardenia Drive
Suite B
Covington, LA 70433
Phone
(985) 871-5900
Fax
(985) 871-5911
NPI assigned
Mar 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X MD.203881 LA
Internal Medicine Physician 207R00000X 203881 LA Primary

Addresses

Primary practice location

80 Gardenia Drive
Suite B
Covington, LA 70433

Mailing address

80 Gardenia Drive
Suite B
Covington, LA 70433
Phone (985) 871-5900

Other names 1

  • Dr. Katie Lynn Brillhart Former name

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
I20120628000093 LA Practitioner - Internal Medicine 3173788932 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Tammany Parish Hospital Service District No 1Group PAC ID 0749273761, shared by 6 NPIs, 162 clinicians

Practice addresses (Care Compare)

1202 S Tyler St
Covington, LA 70433-2330
Phone (985) 898-3743

Hospital & facility affiliations

  • Key Home Health Care Home health agency, Covington, LA, CCN 197727
  • St. Tammany Hospital Home Health Home health agency, Madisonville, LA, CCN 197168
  • Ochsner Home Health of Covington Home health agency, Covington, LA, CCN 197156
  • St Tammany Parish Hospital Hospital, Covington, LA, CCN 190045
  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
203881LAMDInternal Medicine Physician
MD.203881LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Tammany Parish Hospital Service District No 1 CurrentSince Oct 30, 2015 Accepting new patients
St Tammany Parish Hospital Service District No 1 Internal Medicine CurrentSince Sep 1, 2015 Accepting new patients

Locations

80 Gardenia Dr
Ste B
Covington, LA 70433
Phone (985) 871-5900

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

1520 Highway 22 W
Madisonville, LA 70447
Phone (985) 773-1600

Interoperability endpoints

  • Direct secure messaging: ktaranto245841@direct.ochsner.org

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1237507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1023259090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 GARDENIA DRIVE",
            "address_2": "SUITE B",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "985-871-5900",
            "fax_number": "985-871-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 GARDENIA DRIVE",
            "address_2": "SUITE B",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "985-871-5900",
            "fax_number": "985-871-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARANTO",
        "first_name": "KATIE",
        "middle_name": "BRILLHART",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-20",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.203881",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "203881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "BRILLHART",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.