NPIMap

Individual provider Active NPI

Kathryn Elizabeth Pflug, M.D.

  • Diagnostic Radiology Physician
  • Covington, LA
National Provider Identifier
1083913974
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
205498 Issued in LA
Practice address
95 Judge Tanner Blvd
Covington, LA 70433-7500
Phone
(985) 867-3800
NPI assigned
Mar 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 205498 LA Primary

Addresses

Primary practice location

95 Judge Tanner Blvd
Covington, LA 70433-7500

Mailing address

95 Judge Tanner Blvd
Covington, LA 70433-7500
Phone (985) 630-8859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160602001603 LA Practitioner - Diagnostic Radiology 2062637721 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Louisiana State University School of Medicine in New Orleans, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Imaging ServicesGroup PAC ID 7618872102, 22 clinicians
Pontchartrain Diagnostic Imaging LLCGroup PAC ID 1951552900, 8 clinicians

Practice addresses (Care Compare)

4241 Veterans Blvd
Suite 100
Metairie, LA 70006-5430
Phone (504) 888-7921

95 Judge Tanner Blvd
Covington, LA 70433-7500
Phone (985) 867-4033

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
205498LAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Apr 10, 2023 Accepting new patients
Southwest Diagnostic Imaging LLC Diagnostic Radiology CurrentSince Nov 13, 2023 Accepting new patients
Diagnostic Imaging Services CurrentSince Mar 2, 2024 Accepting new patients

Locations

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

16641 N 40th St
Ste 1
Phoenix, AZ 85032
Phone (623) 931-7999

9220 E Mountain View Rd
Ste 100
Scottsdale, AZ 85258

3501 N Scottsdale Rd
Ste 130
Scottsdale, AZ 85251

1625 N Campbell Ave
Tucson, AZ 85719

71154 Highway 21
Covington, LA 70433
Phone (985) 463-5476

925 Avenue C
Marrero, LA 70072
Phone (504) 459-3200

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

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": "1698796800000",
    "number": "1083913974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 JUDGE TANNER BLVD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337500",
            "telephone_number": "985-630-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 JUDGE TANNER BLVD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337500",
            "telephone_number": "985-867-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFLUG",
        "first_name": "KATHRYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-18",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "205498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.