Active NPI
Roland Ponarski, M.D.
- Internal Medicine Physician
- Monroe, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 09892R
- Practice address
- 2806 Mark Dr
Monroe, LA 71201-5152 - Phone
- (318) 460-5127
- Fax
- (318) 460-1967
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 09892R | LA | Primary |
Addresses
Primary practice location
2806 Mark Dr
Monroe, LA 71201-5152
Mailing address
1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6000
Phone (318) 798-4500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1967777 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1455 E Bert Koun Loop
Shreveport, LA 71105-5634
Phone (318) 798-4539
1455 E Bert Kouns
Shreveport, LA 71105-5634
1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105-5634
2806 Mark Dr
Monroe, LA 71201-5152
Phone (318) 460-5127
Hospital & facility affiliations
- Passages Hospice
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09892R | LA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Group of Louisiana Inc | Current | Accepting new patients | |
| Highland Clinic, a Prof Med Corp | Current | Accepting new patients | |
| Physician Group of Louisiana Inc | Current | Accepting new patients | |
| Highland Clinic, a Prof Med Corp | Current | Accepting new patients | |
| Start Community Clinic, LLC | Past | Accepting new patients | |
| Passages Hospice North - Northeast, LLC. | Past | Accepting new patients |
Locations
2806 Mark Dr
Monroe, LA 71201
Phone (318) 322-0555
1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 300-3643
503 McMillan Rd
Fl 2
West Monroe, LA 71291
Phone (318) 329-3475
102 Thomas Rd
Ste 104
West Monroe, LA 71291
Phone (318) 323-1559
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Shreveport, LA
- NPI 1053315846
-
- General Practice Physician
- West Monroe, LA
- NPI 1316188998
-
- Orthopaedic Surgery Physician
- Bossier City, LA
- NPI 1740897743
-
- Family Medicine Physician
- West Monroe, LA
- NPI 1013486059
-
- Community Based Hospice Care Agency
- Monroe, LA
- NPI 1457429813
-
- Rural Health Clinic/Center
- Rayville, LA
- NPI 1760616585
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Monroe, LA
- NPI 1457429813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764806400000",
"number": "1104921741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1455 E BERT KOUNS INDUSTRIAL LOOP",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711056000",
"telephone_number": "318-798-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2806 MARK DR",
"city": "MONROE",
"state": "LA",
"postal_code": "712015152",
"telephone_number": "318-460-5127",
"fax_number": "318-460-1967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONARSKI",
"first_name": "ROLAND",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2025-12-04",
"certification_date": "2025-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "09892R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1967777",
"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 Dec 4, 2025; 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.