Mary Melissa Albritton, M.D.
Individual provider Active NPI Endocrinology, Diabetes & Metabolism Physician · Bossier City, LA
NPI 1275744112 · NPPES record last updated Jun 16, 2021
Key facts
- NPI
- 1275744112
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- License
- MD.200148 (LA)
- Practice address
- 2449 Hospital Dr
Suite 400
Bossier City, LA 71111-2399 - Phone
- (318) 212-7902
- Fax
- (318) 212-7905
- NPI assigned
- May 24, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 25
Medicare Care Compare profile
- Specialty
- Endocrinology
- Education
- Louisiana State University School of Medicine in Shreveport, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- WK Endocrine Specialists
Practice addresses (Care Compare)
2449 Hospital Dr
Suite 400
Bossier City, LA 71111-1914
Phone (318) 212-7902
Hospital & facility affiliations
- Willis Knighton Medical Center
- Minden Medical Center
- Northern Louisiana Medical Center
- Union General Hospital
- Christus St Frances Cabrini Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100914000485 | LA | Practitioner - Endocrinology | 7719002765 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WK Endocrine Specialists | Endocrinology, Diabetes & Metabolism | Current |
Accepting new patients |
| Laura Kimball-Ravari MD and Willis-Knighton Medical Center | Endocrinology, Diabetes & Metabolism | Past |
Accepting new patients |
Locations
2449 Hospital Dr
Ste 400
Bossier City, LA 71111
Phone (318) 212-7902
Interoperability endpoints
- malbritton@direct.wkhs.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD.200148 | LA | Yes |
Addresses
Primary practice location
2449 Hospital Dr
Suite 400
Bossier City, LA 71111-2399
Mailing address
2449 Hospital Dr
Bossier City, LA 71111-2399
Phone (318) 212-7902
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1059650 | Medicaid | LA | |
| 4P323 | Other | LA | MEDICARE PTAN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.mettles.com/ | Other |
NPI Registry JSON
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623801600000",
"number": "1275744112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2449 HOSPITAL DR",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711112399",
"telephone_number": "318-212-7902",
"fax_number": "318-212-7905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2449 HOSPITAL DR",
"address_2": "SUITE 400",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711112399",
"telephone_number": "318-212-7902",
"fax_number": "318-212-7905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALBRITTON",
"first_name": "MARY",
"middle_name": "MELISSA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2021-06-16",
"certification_date": "2021-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "LA",
"license": "MD.200148",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1059650",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "4P323",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.mettles.com/",
"affiliation": "N",
"endpointDescription": "2.16.840.1.113883.3.6037.1",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "10320 Little Patuxent Pkwy Ste 233-02",
"city": "Columbia",
"state": "MD",
"country_code": "US",
"postal_code": "210443313",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
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All providers in Bossier City, LA · Endocrinology, Diabetes & Metabolism Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.