Individual provider Active NPI

Arthur A. Mauterer, M.D.

  • Internal Medicine Physician
  • Amite, LA
National Provider Identifier
1215070115
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
008117 Issued in LA
Practice address
309 Walnut St
Suite B
Amite, LA 70422-2055
Phone
(985) 748-5004
Fax
(985) 748-7003
NPI assigned
Feb 14, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 008117 LA Primary

Addresses

Primary practice location

309 Walnut St
Suite B
Amite, LA 70422-2055

Mailing address

309 Walnut St
Suite B
Amite, LA 70422-2055
Phone (985) 748-5004

Other identifiers 1

IdentifierTypeStateIssuer
1037214MedicaidLA

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
I20041025000942 LA Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - General SurgeryPractitioner - Addiction MedicinePractitioner - Pain Management 4880655695 Practice locations: Amite, LA

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1957
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

309 Walnut St
Suite B
Amite, LA 70422-2055
Phone (985) 748-5004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
008117LAMDInternal Medicine Physician

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Hood Memorial Hospital Swing BedAmite, LA, CCN 19Z309 Hospital Corporate Officer Jan 1, 2012
Amite Rural Health ClinicAmite, LA, CCN 193985 Rural health clinic Corporate Officer Jan 1, 2012

Owned or controlled facilities with NPI records 3

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215070115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 WALNUT ST",
            "address_2": "SUITE B",
            "city": "AMITE",
            "state": "LA",
            "postal_code": "704222055",
            "telephone_number": "985-748-5004",
            "fax_number": "985-748-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 WALNUT ST",
            "address_2": "SUITE B",
            "city": "AMITE",
            "state": "LA",
            "postal_code": "704222055",
            "telephone_number": "985-748-5004",
            "fax_number": "985-748-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUTERER",
        "first_name": "ARTHUR",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "008117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1037214",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amite, LA

Sources for this page

Verify at the official NPI Registry.