Individual provider Active NPI

Louis Victor Montelaro, M.D.

  • Family Medicine Physician
  • New Roads, LA
National Provider Identifier
1255331039
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
010291 Issued in LA
Practice address
310 Durel Dr
New Roads, LA 70760-2973
Phone
(225) 713-2400
Fax
(224) 713-2410
NPI assigned
Jul 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 010291 LA Primary

Addresses

Primary practice location

310 Durel Dr
New Roads, LA 70760-2973

Mailing address

310 Durel Dr
New Roads, LA 70760-2973
Phone (225) 713-2400

Other identifiers 3

IdentifierTypeStateIssuer
010052839OtherLARAILROAD MEDICARE
193856OtherLAMEDICARE GROUP # FOR RURAL HEALTH
1109941MedicaidLA

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL lmontelaro2606@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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100115000743 LA Practitioner - General PracticePractitioner - Family Practice 4880736677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Louisiana State University School of Medicine in New Orleans, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

310 Durel Dr
New Roads, LA 70760-2973
Phone (225) 713-2400

7777 Hennessy Blvd
Baton Rouge, LA 70808-4363

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010291LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of the Lake Physician Group LLC CurrentSince Jul 1, 2012 Accepting new patients
Our Lady of the Lake Physician Group LLC Family Medicine CurrentSince Jul 1, 2012 Accepting new patients
Our Lady of the Lake Physician Group LLC Past Accepting new patients
Our Lady of the Lake Hospital Inc Family Medicine Past Accepting new patients
Our Lady of the Lake Physician Group LLC Family Medicine Past Accepting new patients

Locations

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

310 Durel Dr
New Roads, LA 70760
Phone (225) 713-2400

230 Roberts Dr
Ste E
New Roads, LA 70760
Phone (225) 638-3781

18989 Old Scenic Hwy
Zachary, LA 70791
Phone (225) 654-6140

Interoperability endpoints

  • Direct secure messaging: lmontelaro2606@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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1255331039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 DUREL DR",
            "city": "NEW ROADS",
            "state": "LA",
            "postal_code": "707602973",
            "telephone_number": "225-713-2400",
            "fax_number": "224-713-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 DUREL DR",
            "city": "NEW ROADS",
            "state": "LA",
            "postal_code": "707602973",
            "telephone_number": "225-713-2400",
            "fax_number": "224-713-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTELARO",
        "first_name": "LOUIS",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "010291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "010052839",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP # FOR RURAL HEALTH",
            "identifier": "193856",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1109941",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "lmontelaro2606@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "lmontelaro2606@direct.casso.us.com",
            "address_1": "310 Durel Dr",
            "city": "New Roads",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707602973",
            "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": "310 Durel Dr",
            "city": "New Roads",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707602973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Roads, LA

Sources for this page

Verify at the official NPI Registry.