NPIMap

Individual provider Active NPI

David Pitre

  • Diagnostic Radiology Physician
  • Jackson, MS
National Provider Identifier
1215498241
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
339528 Issued in LA
Practice address
2500 N State St
Jackson, MS 39216-4500
Phone
(601) 815-1779
NPI assigned
Mar 31, 2019
Last updated
Jul 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 29214 MS
Diagnostic Radiology Physician 2085R0202X 339528 LA Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

2500 N State St
Jackson, MS 39216-4500

Mailing address

405 Apache Rd
Houma, LA 70360-6040
Phone (985) 804-1490

Other practice location 1

5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone (225) 757-0552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241001000212 MS Practitioner - Diagnostic Radiology 8628308558 Reassigns benefits to 2 organizations
I20250816000458 LA Practitioner - Diagnostic Radiology 8628308558 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Louisiana State University School of Medicine in New Orleans, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates LLCGroup PAC ID 8628041464, 83 clinicians

Practice addresses (Care Compare)

5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone (225) 757-0552

810 Ascham CT
Pearl, MS 39208-9361
Phone (225) 757-0552

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
67.75
Promoting interoperability
100
Improvement activities
40
Cost
71.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
339528LAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Clinic of Monroe CurrentSince Feb 1, 2026 Accepting new patients
Orthopaedic Clinic of Monroe CurrentSince Feb 1, 2026 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Oct 20, 2024 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Oct 20, 2024 Accepting new patients
Radiology Associates LLC Diagnostic Radiology CurrentSince Jul 15, 2024 Accepting new patients

Locations

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

1100 N 18th St
Ste 100
Monroe, LA 71201
Phone (318) 361-9900

1501 Louisville Ave
Monroe, LA 71201
Phone 31832384514310

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

900 Johnson St
Tallulah, LA 71282
Phone (318) 395-2241

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

Interoperability endpoints

  • Direct secure messaging: dpitre134033@ummc.direct-ci.com
  • Direct secure messaging: dpitre81322@direct.casso.us.com

Organizations & group practices 5

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.

Hospital & facility affiliations 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1553990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1215498241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 APACHE RD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703606040",
            "telephone_number": "985-804-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-815-1779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Hennessy Blvd",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708084375",
            "country_code": "US",
            "telephone_number": "225-757-0552",
            "fax_number": "225-763-9997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITRE",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-31",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MS",
            "license": "29214",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "339528",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.