Individual provider Active NPI

Karl Matthew Nettles Jr., MD

  • Diagnostic Radiology Physician
  • Baton Rouge, LA
National Provider Identifier
1124222104
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD.207260 Issued in LA
Practice address
7520 Perkins Rd
Baton Rouge, LA 70808-9111
Phone
(225) 769-6700
Fax
(225) 768-7608
NPI assigned
Jun 13, 2007
Last updated
Sep 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X M9538 TX
Diagnostic Radiology Physician 2085R0202X MD.207260 LA Primary

Addresses

Primary practice location

7520 Perkins Rd
Baton Rouge, LA 70808-9111

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000

Other practice location 1

4500 S Lancaster Rd
Dallas, TX 75216-7167
Phone (214) 742-8387 ext. 70185

Other identifiers 1

IdentifierTypeStateIssuer
BP1-0026378OtherINSTITUTIONAL PERMIT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS, AR3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20141103000733 LA Practitioner - Diagnostic Radiology 7911030598 Reassigns benefits to 6 organizations
I20171120000245 MS Practitioner - Diagnostic Radiology 7911030598 Reassigns benefits to 1 organization
I20231020002357 AR Practitioner - Diagnostic Radiology 7911030598 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Louisiana State University School of Medicine in New Orleans, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians

Practice addresses (Care Compare)

11001 Executive Ctr Dr
Suite 200 C
Little Rock, AR 72211-4348
Phone (501) 812-7587

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.207260LAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Jan 1, 2023 Accepting new patients
North Oaks Medical Center, LLC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Ochsner Clinic LLC CurrentSince Jan 1, 2023 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Sep 1, 2014 Accepting new patients
Baton Rouge Radiology Group Inc Diagnostic Radiology CurrentSince Oct 1, 2016 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G Current Accepting new patients
Baton Rouge Clinic, a Medical Corporation CurrentSince Nov 20, 2016 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Lallie Kemp Medical Ctr CurrentSince Nov 8, 2014 Accepting new patients
Radiology Consultants of Little Rock, PA Diagnostic Radiology CurrentSince Oct 1, 2023 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Sep 1, 2014 Accepting new patients
Arkansas Health Group Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Baton Rouge Clinic, a Medical Corporation CurrentSince Nov 20, 2016 Accepting new patients
Arkansas Health Group CurrentSince Dec 1, 2024 Accepting new patients
Lallie Kemp Medical Ctr CurrentSince Nov 8, 2014 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Jul 1, 2023 Accepting new patients

Locations (25 of 35)

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

11001 Executive Center Dr
Ste 200C
Little Rock, AR 72211
Phone (501) 812-7587

9601 Baptist Health Dr
Ste 1100
Little Rock, AR 72205
Phone (501) 748-3210

301 Walnut St
Amite, LA 70422
Phone (985) 748-7141

17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470

3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615

5130 Mancuso Ln
Baton Rouge, LA 70809
Phone (225) 490-9600

5422 Dijon Dr
Baton Rouge, LA 70808
Phone (225) 663-6500

7301 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4286

7373 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 246-9790

7520 Perkins Rd
Ste 290
Baton Rouge, LA 70808
Phone (225) 381-6505

7777 Hennessy Blvd
Ste 2004
Baton Rouge, LA 70808
Phone (225) 769-2500

8080 Bluebonnet Blvd
Baton Rouge, LA 70810
Phone (225) 408-8080

8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000

8375 Florida Blvd
Denham Springs, LA 70726
Phone (225) 218-4044

301 Memorial Dr
Donaldsonvlle, LA 70346
Phone (225) 473-7931

1125 W Highway 30
Gonzales, LA 70737
Phone (225) 621-2975

16874 Highway 43
Greensburg, LA 70441
Phone (225) 222-6111

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

52579 Highway 51 S
Independence, LA 70443
Phone (985) 878-1349

500 Rue de Sante
La Place, LA 70068
Phone (504) 652-7000

1645 Lutcher Ave
Lutcher, LA 70071
Phone (225) 258-5901

135 Highway 402
Napoleonville, LA 70390
Phone (504) 369-3600

1514 Jefferson Hwy
New Orleans, LA 70121

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

Interoperability endpoints

  • Direct secure messaging: knettles708420@direct.baptist-healthar.org

Organizations & group practices 16

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.

View all 16

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": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1124222104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 PERKINS RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708089111",
            "telephone_number": "225-769-6700",
            "fax_number": "225-768-7608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 S Lancaster Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752167167",
            "country_code": "US",
            "telephone_number": "214-742-8387 x70185",
            "fax_number": "214-857-0173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NETTLES",
        "first_name": "KARL",
        "middle_name": "MATTHEW",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "M9538",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "MD.207260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSTITUTIONAL PERMIT",
            "identifier": "BP1-0026378",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.