NPIMap

Individual provider Active NPI

Pierre Valmont Blanchard, MD

  • Internal Medicine Physician
  • Shreveport, LA
National Provider Identifier
1104889237
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10211 Issued in LA
Practice address
2551 Greenwood Rd
Suite 410
Shreveport, LA 71103-3981
Phone
(318) 621-2929
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10211 LA Primary

Addresses

Primary practice location

2551 Greenwood Rd
Suite 410
Shreveport, LA 71103-3981

Mailing address

2551 Greenwood Rd
Suite 410
Shreveport, LA 71103-3981
Phone (318) 621-2929

Other identifiers 1

IdentifierTypeStateIssuer
1107727MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.mettles.com/ Other

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
I20061017000351 LA Practitioner - Internal Medicine 0143232165 Reassigns benefits to 1 organization
Practice locations: Shreveport, LA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Tri-State Medical ClinicGroup PAC ID 0143225128, 13 clinicians
Cornerstone Therapy and Balance Center, LLCGroup PAC ID 0345397899, 98 clinicians

Practice addresses (Care Compare)

2551 Greenwood Rd
Suite 410
Shreveport, LA 71103-3989
Phone (318) 621-2929

8961 Youree Dr
Shreveport, LA 71115-3001
Phone (318) 671-8772

Hospital & facility affiliations

  • Elara Caring Home health agency, Bossier City, LA, CCN 197226
  • Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111

Merit-based Incentive Payment System (MIPS)

Final score
91.53 of 100Reported as apm
Quality
81.42
Promoting interoperability
94.6
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
WK Tri-State Medical Clinic Internal Medicine CurrentSince Jul 1, 2006 Accepting new patients
Lifecare Hospitals LLC Past Accepting new patients
WK Ctr for Womens Health and Wellness PastSince Apr 1, 2013 Accepting new patients
WK Digestive Disease Consultants PastSince Nov 1, 1983 Accepting new patients
WK Preferred Pediatrics PastSince Nov 1, 1983 Accepting new patients
WK North Gynecology Clinic PastSince Nov 1, 1983 Accepting new patients
Germain S Cassiere MD & Willis-Knighton Medical Center Internal Medicine PastSince Jan 1, 1994 Accepting new patients
WK Advanced Cardiac Imaging PastSince Nov 1, 1983 Accepting new patients
WKH Physical Medicine Physicians PastSince Nov 1, 1983 Accepting new patients

Locations

2551 Greenwood Rd
Ste 410
Shreveport, LA 71103
Phone (318) 621-2929

2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4600

Interoperability endpoints

  • Direct secure messaging: pblanchar@direct.wkhs.com

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Willis Knighton Medical Center, Inc.Shreveport, LA, CCN 190111 Hospital Corporate Director Nov 1, 1983
Willis Knighton Rehabilitation UnitShreveport, LA, CCN 19T111 Hospital Corporate Director Nov 1, 1983
Willis Knighton Behavorial Medicine UnitShreveport, LA, CCN 19S111 Hospital Corporate Director Nov 1, 1983
Live Oak Retirement CommunityShreveport, LA, CCN 195597 Skilled nursing facility Corporate Director Nov 1, 1983
WK Medical Center-Extended Care CenterShreveport, LA, CCN 195622 Skilled nursing facility Corporate Director Nov 1, 1983
Progressive Care CenterShreveport, LA, CCN 195136 Skilled nursing facility Corporate Director Nov 1, 1983
HME HLTH Dept Willis Knighton Hosp Inc.Shreveport, LA, CCN 197056 Home health agency Corporate Director Nov 1, 1983
Hospice of LouisianaShreveport, LA, CCN 191517 Hospice Corporate Director Nov 1, 1983
D Gregory Bell MD and Willis-Knighton Medical CenterCoushatta, LA, CCN 193895 Rural health clinic Corporate Director Jan 1, 2007

Owned or controlled facilities with NPI records 12

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 5

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1104889237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 GREENWOOD RD",
            "address_2": "SUITE 410",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033981",
            "telephone_number": "318-621-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 GREENWOOD RD",
            "address_2": "SUITE 410",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033981",
            "telephone_number": "318-621-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "PIERRE",
        "middle_name": "VALMONT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "10211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1107727",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mettles.com/",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.6037.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10320 Little Patuxent Pkwy Ste 233-02",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.