Active NPI
Loretta Pylant Gremillion, M.D.
- Dermatology Physician
- Monroe, LA
National Provider Identifier
1073704391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 026501
- Practice address
- 2409 Broadmoor Blvd
Monroe, LA 71201-2964 - Phone
- (318) 323-8799
- Fax
- (318) 323-8815
- NPI assigned
- Aug 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 026501 | LA | Primary |
Addresses
Primary practice location
2409 Broadmoor Blvd
Monroe, LA 71201-2964
Mailing address
1868 Forsythe Ave
Ste 335
Monroe, LA 71201-3540
Phone (318) 251-6216
Other practice location 1
1200 South Farmerville Street
Ruston, LA 71270-5941
Phone (318) 251-6216
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1059587 | Medicaid | LA | |
| 4N1007387 | Other | LA | MEDICARE |
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
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Louisiana State University School of Medicine in New Orleans, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2409 Broadmoor Blvd
Monroe, LA 71201-2964
Phone (318) 323-8799
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.01 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 90.04
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 208 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1570 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 121 |
| Skin biopsy | 468 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026501 | LA | MD | Dermatology Physician |
Interoperability endpoints
- lgremi@adcgremillion.emadirect.md
Organizations & group practices 1
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.
-
- Medical Specialty Clinic/Center
- Monroe, LA
- NPI 1336439553
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Monroe, LA
- NPI 1225031495
-
dba West Carroll Memorial Hospital
- General Acute Care Hospital
- Oak Grove, LA
- NPI 1306843826
-
dba WK Bossier Health Center
- General Acute Care Hospital
- Bossier City, LA
- NPI 1003968579
-
dba Willis Knighton South Hospital
- General Acute Care Hospital
- Shreveport, LA
- NPI 1124170691
-
dba WK Pierremont Health Center
- General Acute Care Hospital
- Shreveport, LA
- NPI 1275685539
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1568461572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528416000000",
"number": "1073704391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1868 FORSYTHE AVE",
"address_2": "STE 335",
"city": "MONROE",
"state": "LA",
"postal_code": "712013540",
"telephone_number": "318-251-6216",
"fax_number": "318-251-6257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2409 BROADMOOR BLVD",
"city": "MONROE",
"state": "LA",
"postal_code": "712012964",
"telephone_number": "318-323-8799",
"fax_number": "318-323-8815"
}
],
"practiceLocations": [
{
"address_1": "1200 SOUTH FARMERVILLE STREET",
"address_purpose": "LOCATION",
"city": "RUSTON",
"state": "LA",
"postal_code": "712705941",
"country_code": "US",
"telephone_number": "318-251-6216",
"fax_number": "318-251-6257",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREMILLION",
"first_name": "LORETTA",
"middle_name": "PYLANT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-05",
"last_updated": "2018-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "LA",
"license": "026501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1059587",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "4N1007387",
"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 Jun 8, 2018; 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.