Individual provider Active NPI

Catherine Caldwell Spiller, MD

  • Pediatrics Physician
  • Walker, LA
National Provider Identifier
1033131040
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
024966 Issued in LA
Practice address
5000 O Donovan Blvd
Suite 404
Walker, LA 70785-6351
Phone
(225) 765-5500
Fax
(225) 369-8140
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 024966 LA
Pediatrics Physician 208000000X 024966 LA Primary

Addresses

Primary practice location

5000 O Donovan Blvd
Suite 404
Walker, LA 70785-6351

Mailing address

PO Box 84460
Baton Rouge, LA 70884-4460
Phone (225) 765-5727

Other identifiers 1

IdentifierTypeStateIssuer
1422118MedicaidLA

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other
Direct Messaging Address cspiller8291@direct.casso.us.com Direct

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
I20050414000225 LA Practitioner - Pediatric MedicinePractitioner - Internal Medicine 4082651781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5000 Odonavan Blvd
Walker, LA 70785-6351
Phone (225) 214-4200

7777 Hennessy Blvd
Baton Rouge, LA 70808-4363

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024966LAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of the Lake Physician Group LLC CurrentSince Jul 1, 2014 Accepting new patients
Our Lady of the Lake Physician Group LLC Internal Medicine CurrentSince Jul 1, 2014 Accepting new patients
Laboratory Corporation of America Holdings Past Accepting new patients
Our Lady of the Lake Physician Group LLC Past Accepting new patients
Lakeside Physician Associates, LLC Past Accepting new patients

Locations

2051 Silverside Dr
Ste 260
Baton Rouge, LA 70808
Phone (225) 490-6301

31995 LA Highway 16
Denham Springs, LA 70726
Phone (225) 214-4200

5000 Odonavan Blvd
Ste 404
Walker, LA 70785
Phone (225) 369-8100

Networks

  • LA PPO C-SNP
  • MS PPO

Interoperability endpoints

  • Direct secure messaging: cspiller8291@direct.casso.us.com

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.

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1033131040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84460",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708844460",
            "telephone_number": "225-765-5727",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 O DONOVAN BLVD",
            "address_2": "SUITE 404",
            "city": "WALKER",
            "state": "LA",
            "postal_code": "707856351",
            "telephone_number": "225-765-5500",
            "fax_number": "225-369-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPILLER",
        "first_name": "CATHERINE",
        "middle_name": "CALDWELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "024966",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "024966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1422118",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "5000 O Donovan Blvd",
            "address_2": "Suite 404",
            "city": "Walker",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707856351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cspiller8291@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "cspiller8291@direct.casso.us.com",
            "address_1": "5000 O Donovan Blvd",
            "address_2": "Suite 404",
            "city": "Walker",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707856351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Walker, LA

Sources for this page

Verify at the official NPI Registry.