NPIMap

Individual provider Active NPI

Bevan Ambus Myles, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Baton Rouge, LA
National Provider Identifier
1356784284
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
208048 Issued in LA
Practice address
5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone
(225) 765-4050
Fax
(225) 765-4046
NPI assigned
Apr 10, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 208048 LA Primary

Addresses

Primary practice location

5000 Hennessy Blvd
Baton Rouge, LA 70808-4375

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 765-4050

Other practice location 1

10101 Park Rowe Cir
#500
Baton Rouge, LA 70810
Phone (225) 906-2999

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bmyles9051@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, NC2 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
I20160819000473 LA Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 0042516130 Reassigns benefits to 3 organizations
I20250906000516 NC Practitioner - Internal Medicine 0042516130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1725 New Hanover Med Park Dr
Wilmington, NC 28403-5345
Phone (910) 662-9331

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
208048LAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Oaks Medical Center, LLC CurrentSince Oct 15, 2018 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Oct 15, 2018 Accepting new patients
Rowe Health Consultants, LLC CurrentSince Aug 18, 2022 Accepting new patients
Belle Chasse Physician Services LLC CurrentSince Jul 8, 2018 Accepting new patients
Main Street Physician Services LLC CurrentSince Mar 13, 2018 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Current Accepting new patients
NMG Health Services LLC CurrentSince May 23, 2025 Accepting new patients
Novant Health Medical Group Coastal Region, LLC CurrentSince May 23, 2025 Accepting new patients
Our Lady of the Lake Hospital Inc. Past Accepting new patients
New Hanover Medical Group PA Past Accepting new patients

Locations

10105 Park Rowe Cir
Baton Rouge, LA 70810
Phone (225) 763-9900

10101 Park Rowe Ave
Ste 500
Baton Rouge, LA 70810
Phone (225) 906-2999

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

2315 E Main St
Fl 3
New Iberia, LA 70560
Phone (337) 369-1100

2315 E Main St
New Iberia, LA 70560
Phone (337) 364-0441

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

1725 New Hanover Medical Park Dr
Wilmington, NC 28403
Phone (910) 662-9300

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

Interoperability endpoints

  • FHIR API: https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: bmyles1699510@direct.novanthealth.org
  • Direct secure messaging: bmyles9051@direct.casso.us.com

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 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": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1356784284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-765-4050",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 HENNESSY BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084375",
            "telephone_number": "225-765-4050",
            "fax_number": "225-765-4046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10101 Park Rowe Cir",
            "address_2": "#500",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "70810",
            "country_code": "US",
            "telephone_number": "225-906-2999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYLES",
        "first_name": "BEVAN",
        "middle_name": "AMBUS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-10",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "LA",
            "license": "208048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmyles9051@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "bmyles9051@direct.casso.us.com",
            "address_1": "7777 Hennessy Blvd",
            "address_2": "Suite 701",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708084300",
            "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": "7777 Hennessy Blvd",
            "address_2": "Suite 701",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708084300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.