Individual provider Active NPI

Katherine Wiltz Lavie, MD

  • Infectious Disease Physician
  • Baton Rouge, LA
National Provider Identifier
1073812871
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
34246 Issued in AL
Practice address
5247 Didesse Dr
Baton Rouge, LA 70808-9153
Phone
(225) 214-0907
Fax
(225) 214-0908
NPI assigned
Mar 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 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 MD.205401 LA
Infectious Disease Physician 207RI0200X 34246 AL Primary

Addresses

Primary practice location

5247 Didesse Dr
Baton Rouge, LA 70808-9153

Mailing address

5246 Brittany Dr
Baton Rouge, LA 70808-9136
Phone (225) 757-4080

Other practice location 1

1401 N Foster Dr
Baton Rouge, LA 70806-1818
Phone (225) 987-9000

Other names 1

  • Katherine Elizabeth Wiltz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140725000937 LA Practitioner - Infectious DiseasePractitioner - Internal Medicine 4284850363 Reassigns benefits to 2 organizations
I20170522001978 AL Practitioner - Infectious Disease 4284850363 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lsuhn Billing LLCGroup PAC ID 0446337802, 203 clinicians

Practice addresses (Care Compare)

1401 N Foster Dr
Baton Rouge, LA 70806-1818
Phone (225) 987-9000

2390 W Congress St
Lafayette, LA 70506-4205
Phone (337) 261-6000

5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone (225) 765-6565

5247 Didesse Dr
Baton Rouge, LA 70808-9153
Phone (225) 215-2193

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34246ALMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Jul 1, 2001 Accepting new patients
Our Lady of the Lake Physician Group LLC CurrentSince Aug 1, 2018 Accepting new patients
University of Alabama at Birmingham CurrentSince Jul 1, 2017 Accepting new patients
Lsuhn Billing LLC CurrentSince Jul 1, 2014 Accepting new patients
University of Alabama at Birmingham Internal Medicine Current Accepting new patients
Lsuhn Billing LLC CurrentSince Jul 1, 2014 Accepting new patients
University of Alabama at Birmingham CurrentSince Jul 1, 2017 Accepting new patients
Our Lady of the Lake Physician Group LLC Internal Medicine Current Accepting new patients
Our Lady of the Lake Physician Group, LLC CurrentSince Aug 1, 2018 Accepting new patients
Lsuhn Billing LLC Past Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

1900 University Blvd
#229
Birmingham, AL 35233
Phone (204) 934-5191

908 20th St S
Birmingham, AL 35205
Phone (205) 934-4108

5247 Didesse Dr
Baton Rouge, LA 70808
Phone (225) 765-2273

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

1401 N Foster Dr
Baton Rouge, LA 70806
Phone (225) 987-9000

5131 Odonovan Dr
Ste 500
Baton Rouge, LA 70808
Phone (225) 374-0031

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

Organizations & group practices 10

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": "1300406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1073812871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5246 BRITTANY DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708089136",
            "telephone_number": "225-757-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5247 DIDESSE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708089153",
            "telephone_number": "225-214-0907",
            "fax_number": "225-214-0908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 N Foster Dr",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708061818",
            "country_code": "US",
            "telephone_number": "225-987-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVIE",
        "first_name": "KATHERINE",
        "middle_name": "WILTZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-18",
        "last_updated": "2021-09-22",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.205401",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "AL",
            "license": "34246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "WILTZ",
            "middle_name": "ELIZABETH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.