Active NPI
Michael John Sampognaro, M.D.
- Internal Medicine Physician
- Monroe, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 017752
- Practice address
- 1 Bancroft CR
Monroe, LA 71201-5101 - Phone
- (318) 966-8400
- Fax
- (318) 966-8401
- NPI assigned
- Jun 27, 2006
- Last updated
- Sep 3, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 017752 | LA | Primary |
Addresses
Primary practice location
1 Bancroft CR
Monroe, LA 71201-5101
Mailing address
5959 S Sherwood Forest Blvd Ste 355
Baton Rouge, LA 70816-6038
Phone (318) 966-8400
Other practice location 1
309 Jackson St
Monroe, LA 71201-7407
Phone (318) 966-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1368946 | Medicaid | LA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | msampognaro16429@direct.casso.us.com | Direct | |
| FHIR URL | https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Other |
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
- Louisiana State University School of Medicine in New Orleans, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2408 Broadmoor Blvd
Monroe, LA 71201-2963
2408 Broadmoor Blvd
Monroe, LA 71201-2994
Phone (318) 410-0002
309 Jackson St
Monroe, LA 71201-7407
Phone (318) 966-4541
312 Grammont St
Monroe, LA 71201-7403
517 Catalpa St
Monroe, LA 71201-7426
Phone (318) 966-6500
Hospital & facility affiliations
- St Francis Medical Center Home Health
- Elara Caring
- Fmol Health St Francis
- Monroe Surgical Hospital
- Franklin Medical Center
- Richland Parish Hospital-Delhi
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.3 of 100
- Quality
- 78.23
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.42
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.51 of 100
- Quality
- 60.04
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017752 | LA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Health Group, LLC | Current | Accepting new patients | |
| St Francis Medical Group LLC | Internal Medicine | Current | Accepting new patients |
| Monroe Surgical Hospital, LLC | Current | Accepting new patients | |
| St Francis Medical Center, Inc | Current | Accepting new patients | |
| St. Francis Medical Center, Inc. | Current | Accepting new patients | |
| Affinity Health Group, LLC | Current | Accepting new patients | |
| Monroe Surgical Hospital, LLC | Current | Accepting new patients | |
| St Francis Medical Center, Inc | Past | Accepting new patients | |
| St Francis Specialty Hospital,Inc | Past | Accepting new patients |
Locations
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011
5959 S Sherwood Forest Blvd
Ste 355
Baton Rouge, LA 70816
1 Bancroft Cir
Monroe, LA 71201
Phone (318) 361-0995
130 Desiard St
Ste 355
Monroe, LA 71201
Phone (318) 807-7875
2408 Broadmoor Blvd
Monroe, LA 71201
Phone (318) 410-0002
2408 Broadmoor Blvd
Ste 2
Monroe, LA 71201
Phone (318) 807-0525
309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000
3421 Medical Park Dr
Monroe, LA 71203
Phone (318) 327-4686
517 Catalpa St
Monroe, LA 71201
Phone (318) 966-6500
920 Oliver Rd
Ste B
Monroe, LA 71201
Phone (318) 327-6201
Interoperability endpoints
- msampognaro16429@direct.casso.us.com
Organizations & group practices 9
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.
-
- General Acute Care Hospital
- Monroe, LA
- NPI 1225031495
-
- Internal Medicine Physician
- Monroe, LA
- NPI 1134405087
-
- Family Medicine Physician
- Monroe, LA
- NPI 1023291226
-
- Diagnostic Radiology Physician
- Monroe, LA
- NPI 1437149168
-
dba Affinity Orthopaedic Clinic
- Orthopaedic Surgery Physician
- Monroe, LA
- NPI 1861879249
-
dba The Medical Office of Mangham
- Rural Health Clinic/Center
- Mangham, LA
- NPI 1871153379
-
dba St. Francis Walk In Clinic, Jackson St.
- Primary Care Clinic/Center
- Monroe, LA
- NPI 1437552106
-
- Rehabilitation Hospital Unit
- Monroe, LA
- NPI 1013906239
-
- Long Term Care Hospital
- Monroe, LA
- NPI 1932154796
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Franklin Medical Center
- Rural Acute Care Hospital
- Winnsboro, LA
- NPI 1356399539
-
dba Richland Parish Hospital
- Critical Access Hospital
- Delhi, LA
- NPI 1336109768
-
dba St. Francis Medical Center Home Health
- Home Health Agency
- Monroe, LA
- NPI 1295782183
-
dba Elara Caring
- Home Health Agency
- Monroe, LA
- NPI 1619041522
-
- General Acute Care Hospital
- Monroe, LA
- NPI 1225031495
-
- General Acute Care Hospital
- Monroe, LA
- NPI 1295723229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1194752865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 S SHERWOOD FOREST BLVD STE 355",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708166038",
"telephone_number": "318-966-8400",
"fax_number": "225-765-6916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BANCROFT CR",
"city": "MONROE",
"state": "LA",
"postal_code": "712015101",
"telephone_number": "318-966-8400",
"fax_number": "318-966-8401"
}
],
"practiceLocations": [
{
"address_1": "309 Jackson St",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "LA",
"postal_code": "712017407",
"country_code": "US",
"telephone_number": "318-966-4000",
"fax_number": "318-966-7359",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAMPOGNARO",
"first_name": "MICHAEL",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "017752",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1368946",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "msampognaro16429@direct.casso.us.com",
"affiliation": "N",
"endpointDescription": "FMOLHS-Epic",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "msampognaro16429@direct.casso.us.com",
"address_1": "309 Jackson St",
"city": "Monroe",
"state": "LA",
"country_code": "US",
"postal_code": "712017407",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FMOLHS FHIR URL",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "309 Jackson St",
"city": "Monroe",
"state": "LA",
"country_code": "US",
"postal_code": "712017407",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 3, 2024; 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.