Individual provider Active NPI

Todd H Pullin, MD

  • Pediatrics Physician
  • Eunice, LA
National Provider Identifier
1366453037
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
022507 Issued in LA
Practice address
301 N Martin Luther King Dr
Eunice, LA 70535-3644
Phone
(337) 550-1175
Fax
(337) 236-8073
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 022507 LA Primary

Addresses

Primary practice location

301 N Martin Luther King Dr
Eunice, LA 70535-3644

Mailing address

301 N Martin Luther King Dr
Eunice, LA 70535-3644
Phone (337) 550-1175

Other identifiers 1

IdentifierTypeStateIssuer
1183709MedicaidLA

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
I20260302001958 LA Practitioner - Pediatric Medicine 6608358494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1634 Elton Rd
Jennings, LA 70546-3614

4647 W Cedar Lake Rd
Greenbush, MI 48738-9716

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
022507LAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner American Legion Hospital LLC CurrentSince Jan 27, 2026 Accepting new patients
Ochsner American Legion Hospital LLC CurrentSince Jan 27, 2026 Accepting new patients
CLHG-Acadian LLC Past Accepting new patients
Childrens Health Center, LLC Pediatrics Past Accepting new patients
CLHG-Acadian, LLC Past Accepting new patients

Locations

3256 Highway 190
Ste B
Eunice, LA 70535
Phone (337) 550-3740

3501 Highway 190
Eunice, LA 70535
Phone (337) 580-7500

1634 Elton Rd
Jennings, LA 70546
Phone (337) 616-7000

Interoperability endpoints

  • Direct secure messaging: todd.pullin.1@27785.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366453037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N MARTIN LUTHER KING DR",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705353644",
            "telephone_number": "337-550-1175",
            "fax_number": "337-236-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N MARTIN LUTHER KING DR",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705353644",
            "telephone_number": "337-550-1175",
            "fax_number": "337-236-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLIN",
        "first_name": "TODD",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "022507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1183709",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eunice, LA

Sources for this page

Verify at the official NPI Registry.