Individual provider Active NPI

David Allen Pate I, M.D.

  • Dermatology Physician
  • Slidell, LA
National Provider Identifier
1255697090
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
304266 Issued in LA
Practice address
2780 Gause Blvd E
Slidell, LA 70461-4250
Phone
(985) 641-5198
NPI assigned
Apr 5, 2012
Last updated
May 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 24733 MS
MOHS-Micrographic Surgery Physician 207ND0101X 304266 LA
Dermatology Physician 207N00000X 304266 LA Primary

Addresses

Primary practice location

2780 Gause Blvd E
Slidell, LA 70461-4250

Mailing address

2780 Gause Blvd E
Slidell, LA 70461-4250
Phone (225) 252-1674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171103000379 LA Practitioner - Dermatology 1456659630 Reassigns benefits to 1 organization
I20180709000115 MS Practitioner - Dermatology 1456659630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical School at San Antonio, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northshore Dermatology, LLCGroup PAC ID 4486040045, 5 clinicians

Practice addresses (Care Compare)

393 Hwy 21
Suite 550
Madisonville, LA 70447-3447
Phone (985) 792-5959

6353 Hwy 11 N
Picayune, MS 39466-7868
Phone (601) 749-9500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision130
Removal of skin lesions778
Removal of skin cancer528
Removal of nail tissue1-10
Skin biopsy430

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northshore Dermatology, LLC Dermatology CurrentSince Mar 1, 2022 Accepting new patients
Eric N. Tabor, M.D. a.P.M.C Dermatology CurrentSince Jun 1, 2018 Accepting new patients

Locations

1606 S Magnolia St
Hammond, LA 70403
Phone (985) 340-4198

393 Highway 21
Ste 550
Madisonville, LA 70447
Phone (985) 641-5198

2780 Gause Blvd E
Slidell, LA 70461
Phone (985) 379-7991

2780 Gause Blvd E
Ste A
Slidell, LA 70461
Phone (985) 641-5198

6353 Highway 11 N
Picayune, MS 39466
Phone (601) 749-9500

Interoperability endpoints

  • Direct secure messaging: dpate@directaddress.net

Organizations & group practices 2

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 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": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1255697090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 GAUSE BLVD E",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614250",
            "telephone_number": "225-252-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 GAUSE BLVD E",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614250",
            "telephone_number": "985-641-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATE",
        "first_name": "DAVID",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-05",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MS",
            "license": "24733",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "LA",
            "license": "304266",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "304266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.