Active NPI
Mark Douglas Porta Jr.
- Internal Medicine Physician
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 206897
- Practice address
- 1501 Kings Hwy
Lsuhsc Dept. of Gastroenterology
Shreveport, LA 71130 - Phone
- (318) 813-2502
- NPI assigned
- Apr 12, 2012
- Last updated
- Jul 30, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 206897 | LA | Primary |
Addresses
Primary practice location
1501 Kings Hwy
Lsuhsc Dept. of Gastroenterology
Shreveport, LA 71130
Mailing address
1501 Kings Hwy
Lsuhsc Dept. of Gastroenterology
Shreveport, LA 71130
Phone (318) 813-2502
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Louisiana State University School of Medicine in New Orleans, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone (225) 765-6565
764 N Acadia Rd
Suite a
Thibodaux, LA 70301-5009
Phone (985) 446-1958
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.05 of 100
- Quality
- 82.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.37
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.98 of 100
- Quality
- 66.51
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 71.76
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 52 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 86 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 206897 | LA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Medical Group PLLC | Current | Accepting new patients | |
| Texas Digestive Disease Consultants, PLLC | Gastroenterology | Current | Accepting new patients |
| Rapides Healthcare System LLC | Internal Medicine | Current | Accepting new patients |
| Texas Digestive Disease Consultants PLLC | Gastroenterology | Current | Accepting new patients |
| Lsuhn Billing LLC | Current | Accepting new patients | |
| Rapides Healthcare System, LLC | Current | Accepting new patients | |
| Main Street Physician Services LLC | Current | Accepting new patients | |
| Concord Medical Group of Texas PLLC | Current | Accepting new patients | |
| Lsuhn Billing LLC | Current | Accepting new patients | |
| Texas Digestive Disease Consultants, PLLC | Gastroenterology | Past | Accepting new patients |
Locations
211 4th St
Alexandria, LA 71301
Phone (318) 473-3000
5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050
5131 Odonovan Dr
Ste 400
Baton Rouge, LA 70808
5131 Odonovan Dr
Ste 500
Baton Rouge, LA 70808
Phone (225) 374-0031
9032 Perkins Rd
Baton Rouge, LA 70810
Phone (225) 358-4853
9103 Jefferson Hwy
Baton Rouge, LA 70809
Phone (225) 927-1190
600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100
2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000
2315 E Main St
Fl 3
New Iberia, LA 70560
Phone (337) 369-1100
764 N Acadia Rd
Ste A
Thibodaux, LA 70301
Phone (985) 446-1958
Organizations & group practices 10
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.
-
- Multi-Specialty Clinic/Center
- Lafayette, LA
- NPI 1992975775
-
- Gastroenterology Physician
- Covington, LA
- NPI 1295428415
-
- Hospitalist Physician
- New Iberia, LA
- NPI 1396150785
-
dba Rapides Regional Medical Center-Hospital-Based Physicians
- Pediatric Pulmonology Physician
- Alexandria, LA
- NPI 1366618837
-
- Oral and Maxillofacial Surgery (Dentist)
- Baton Rouge, LA
- NPI 1306247556
-
- Internal Medicine Physician
- Mamou, LA
- NPI 1174609200
-
- Gastroenterology Physician
- Thibodaux, LA
- NPI 1154837391
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
-
- Gastroenterology Physician
- Irving, TX
- NPI 1053397331
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Family Health Center
- Family Medicine Physician
- Baton Rouge, LA
- NPI 1184648651
Hospital
-
dba Baton Rouge General Surgical Associates
- Surgery Physician
- Baton Rouge, LA
- NPI 1215199724
Hospital
-
dba Baton Rouge General Hospital Specialists
- Neurological Surgery Physician
- Baton Rouge, LA
- NPI 1285887844
Hospital
-
dba BRG Comprehensive Care Center
- Gastroenterology Physician
- Baton Rouge, LA
- NPI 1407346984
Hospital
-
dba Baton Rouge General Express Care
- Clinic/Center
- Baton Rouge, LA
- NPI 1679096416
Hospital
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1962537407
-
dba Our Lady of the Lake Regional Medical Center
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1366436123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438214400000",
"number": "1275890436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 KINGS HWY",
"address_2": "LSUHSC DEPT. OF GASTROENTEROLOGY",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "71130",
"telephone_number": "318-813-2502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 KINGS HWY",
"address_2": "LSUHSC DEPT. OF GASTROENTEROLOGY",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "71130",
"telephone_number": "318-813-2502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTA",
"first_name": "MARK",
"middle_name": "DOUGLAS",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-12",
"last_updated": "2015-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "206897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.