Individual provider Active NPI

Pamela M Bartholomew, M D

  • Anatomic Pathology Physician
  • Covington, LA
National Provider Identifier
1366481996
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
019986 Issued in LA
Practice address
67241 Industry LN
Covington, LA 70433-8705
Phone
(985) 892-7206
Fax
(985) 892-9990
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 019986 LA Primary

Addresses

Primary practice location

67241 Industry LN
Covington, LA 70433-8705

Mailing address

PO Box 1750
Covington, LA 70434-1750
Phone (985) 892-7206

Other identifiers 1

IdentifierTypeStateIssuer
1977667MedicaidLA

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
I20110223000731 LA Practitioner - Pathology 9032001573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Tulane University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Delta Pathology Group LLCGroup PAC ID 4789639089, 28 clinicians

Practice addresses (Care Compare)

2915 Missouri Ave
Shreveport, LA 71109-4327
Phone (318) 364-2000

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917
Phone (337) 470-4640

95 Judge Tanner Blvd
Covington, LA 70433-7500
Phone (985) 867-4046

Merit-based Incentive Payment System (MIPS)

Final score
71.66 of 100Reported as group
Quality
66.66
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
019986LAMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Delta Pathology Group LLC CurrentSince Aug 1, 2012 Accepting new patients
The Delta Pathology Group LLC Current Accepting new patients
Southern Pathology a Professional Medical Corporation PastSince Oct 23, 2001 Accepting new patients
Southern Pathology, a Professional Medical Corporation Past Accepting new patients
The Delta Pathology Group, L.L.C. Past Accepting new patients

Locations

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-2000

4600 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 371-3135

309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000

3000 Knight St
Ste 220
Shreveport, LA 71105
Phone (318) 841-9526

3290 Knight St
Shreveport, LA 71105
Phone (318) 621-8820

2915 Missouri Ave
Shreveport, LA 71109
Phone (318) 364-2000

Organizations & group practices 5

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1366481996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1750",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704341750",
            "telephone_number": "985-892-7206",
            "fax_number": "985-892-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67241 INDUSTRY LN",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338705",
            "telephone_number": "985-892-7206",
            "fax_number": "985-892-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTHOLOMEW",
        "first_name": "PAMELA",
        "middle_name": "M",
        "credential": "M D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "LA",
            "license": "019986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1977667",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.