Active NPI
Karl Matthew Nettles Jr., MD
- Diagnostic Radiology Physician
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD.207260
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BP1-0026378 | Other | INSTITUTIONAL PERMIT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, MS, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD.207260 | LA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| North Oaks Medical Center, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Louisiana State University School of Medicine in New Orleans Faculty G | Current | Accepting new patients | |
| Baton Rouge Radiology Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Louisiana State University School of Medicine in New Orleans Faculty G | Current | Accepting new patients | |
| Baton Rouge Clinic, a Medical Corporation | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Lallie Kemp Medical Ctr | Current | Accepting new patients | |
| Radiology Consultants of Little Rock, PA | Diagnostic Radiology | Current | Accepting new patients |
| Louisiana State University School of Medicine in New Orleans Faculty G | Current | Accepting new patients | |
| Arkansas Health Group | Diagnostic Radiology | Current | Accepting new patients |
| Baton Rouge Clinic, a Medical Corporation | Current | Accepting new patients | |
| Arkansas Health Group | Current | Accepting new patients | |
| Lallie Kemp Medical Ctr | Current | Accepting new patients | |
| North Oaks Medical Center, LLC | Current | 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
- 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.
-
dba Baptist Health Radiology Physicians
- Diagnostic Radiology Physician
- Little Rock, AR
- NPI 1861216327
-
- Internal Medicine Physician
- Baton Rouge, LA
- NPI 1871546911
-
dba Lallie Kemp Regional Medical Center
- Critical Access Hospital
- Independence, LA
- NPI 1558303420
-
dba LSU Healthcare Network
- Multi-Specialty Clinic/Center
- New Orleans, LA
- NPI 1477582526
-
dba Hospital Based Physicians - Radiologists
- Diagnostic Radiology Physician
- Hammond, LA
- NPI 1164785648
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Diagnostic Radiology Physician
- Little Rock, AR
- NPI 1639124118
-
dba Baton Rouge Clinic Eye Care
- Ophthalmology Physician
- Baton Rouge, LA
- NPI 1528941655
-
dba Lallie Kemp Regional Medical Center
- Critical Access Hospital
- Independence, LA
- NPI 1972545846
-
dba Lsu Healthcare Network
- Durable Medical Equipment & Medical Supplies
- Kenner, LA
- NPI 1316417629
-
dba LSU Healthcare Network
- Dentist
- New Orleans, LA
- NPI 1740534064
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Medical Center-Little Rock
- General Acute Care Hospital
- Little Rock, AR
- NPI 1043240682
-
dba Baptist Health Medical Center-Arkadelphia
- Critical Access Hospital
- Arkadelphia, AR
- NPI 1174553796
-
dba Baptist Health Medical Center-North Little Rock
- General Acute Care Hospital
- North Little Rock, AR
- NPI 1497790042
-
dba Baptist Health Medical Center - Heber Springs
- Critical Access Hospital
- Heber Springs, AR
- NPI 1609804822
-
dba Baptist Health Medical Center - Conway
- General Acute Care Hospital
- Conway, AR
- NPI 1285005140
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.