Active NPI
Venetia Marie Nicole Patout, MD
- Dermatology Physician
- New Iberia, LA
National Provider Identifier
1104849579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 023184
- Practice address
- 602 North Lewis Street
Suite 600
New Iberia, LA 70563 - Phone
- (337) 560-1200
- Fax
- (337) 560-5554
- NPI assigned
- Jul 25, 2006
- 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 | 023184 | LA | Primary |
Addresses
Primary practice location
602 North Lewis Street
Suite 600
New Iberia, LA 70563
Mailing address
511 E Main St
New Iberia, LA 70560-3819
Phone (337) 369-7722
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1492485 | Medicaid | LA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101005000150 | LA | Practitioner - Dermatology | 0143398859 | Practice locations: New Iberia, LA |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Louisiana State University School of Medicine in New Orleans, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
602 N Lewis St
Suite 600
New Iberia, LA 70563-2093
Phone (337) 560-1200
Hospital & facility affiliations
- Iberia Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 657 |
| Removal or shaving of skin growth | 20 |
| Skin biopsy | 171 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023184 | LA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark B. Charbonnet, MD Apmc | Past | Accepting new patients | |
| Iberia Dermatology | Dermatology | Past | Accepting new patients |
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.
-
- Dermatology Physician
- New Iberia, LA
- NPI 1518094010
-
- Medical Oncology Physician
- New Iberia, LA
- NPI 1740317221
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- New Iberia, LA
- NPI 1992159925
-
- General Acute Care Hospital
- New Iberia, LA
- NPI 1285601088
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": "1645228800000",
"number": "1104849579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 E MAIN ST",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705603819",
"telephone_number": "337-369-7722",
"fax_number": "337-560-5554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 NORTH LEWIS STREET",
"address_2": "SUITE 600",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "70563",
"telephone_number": "337-560-1200",
"fax_number": "337-560-5554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATOUT",
"first_name": "VENETIA",
"middle_name": "MARIE NICOLE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2022-02-19",
"certification_date": "2022-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "LA",
"license": "023184",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1492485",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Iberia, LA
- Alberto M. Palmiano, M.D.
- Paramount Healthcare Consultants -New Iberia LLC
- Parish State Emergency Physicians LLC
- Lexie Range Mouton Pascual, MS
- Reshma Patel, PHARM.D.
- Patriot Rehab Services-New Iberia, LLC
- Barbara Patterson
- Paul H. Gulotta, Jr., M.D., a.P.M.C.
- Alexandra Pellerin
- Amy Katherine Pennington, M.S., CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2022; 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.