Individual provider Active NPI

Nathan Sugarman, MD

  • Family Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1124580535
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
331648 Issued in LA
Practice address
8595 Picardy Ave Ste 100
Baton Rouge, LA 70809-3674
Phone
(225) 763-4900
NPI assigned
Apr 3, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 331648 LA Primary

Addresses

Primary practice location

8595 Picardy Ave Ste 100
Baton Rouge, LA 70809-3674

Mailing address

8595 Picardy Ave Ste 100
Baton Rouge, LA 70809-3674
Phone (225) 763-4900

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230425001438 LA Practitioner - Family Practice 7012243751 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Emergency Physician Associates, LLCGroup PAC ID 1759317092, 78 clinicians
Baton Rouge General Physicians IncGroup PAC ID 5193623643, 189 clinicians

Practice addresses (Care Compare)

100 Womans Way
Baton Rouge, LA 70817-5100
Phone (225) 765-6565

8595 Picardy Ave
Suite 100
Baton Rouge, LA 70809-3674
Phone (225) 763-4900

Hospital & facility affiliations

  • Baton Rouge General Home Health Home health agency, Baton Rouge, LA, CCN 197163
  • Heart of Hospice, LLC Hospice, Baton Rouge, LA, CCN 191594
  • Baton Rouge General Medical Center Hospital, Baton Rouge, LA, CCN 190065
  • Womans Hospital Hospital, Baton Rouge, LA, CCN 190128

Merit-based Incentive Payment System (MIPS)

Final score
78.3 of 100Reported as group
Quality
57.21
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
74.57
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
331648LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge General Medical Center Single Specialty Current Accepting new patients
Baton Rouge General Physicians, Inc. Single Specialty CurrentSince Dec 10, 2022 Accepting new patients
Baton Rouge General Medical Center Single Specialty CurrentSince Feb 1, 2023 Accepting new patients
Professional Emergency Physician Associates, LLC Single Specialty CurrentSince Mar 10, 2023 Accepting new patients
Baton Rouge General Medical Center Single Specialty CurrentSince Feb 1, 2023 Accepting new patients
Baton Rouge General Physicians, Inc. Single Specialty CurrentSince Dec 10, 2022 Accepting new patients
Heart of Hospice LLC Family Medicine Past Accepting new patients

Locations

Dept AT952639
Atlanta, GA 31192

8490 Picardy Ave
Ste 100B
Baton Rouge, LA 70809

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

3401 North Blvd
Ste 200
Baton Rouge, LA 70806
Phone (225) 336-3100

8595 Picardy Ave
Ste 100
Baton Rouge, LA 70809
Phone (225) 763-4900

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

100 Womans Way
Baton Rouge, LA 70817
Phone (225) 293-2324

5000 Odonavan Blvd
Walker, LA 70785
Phone (225) 214-4200

Interoperability endpoints

  • Direct secure messaging: nsugarman21975@womanshospital.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Heart of Hospice, LLCBaton Rouge, LA, CCN 191594 Hospice Contracted Managing Employee Mar 1, 2024

Owned or controlled facilities with NPI records 1

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

Organizations & group practices 7

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 9

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": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1124580535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8595 PICARDY AVE STE 100",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093674",
            "telephone_number": "225-763-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8595 PICARDY AVE STE 100",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093674",
            "telephone_number": "225-763-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGARMAN",
        "first_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-03",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "331648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.