David E. Pruett, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

MD.204452 Issued in LA

Practice address

401 Thomas Rd Ste 1
West Monroe, LA 71292-7903

Phone

(318) 325-5435

Fax

(318) 325-5495

NPI assigned

May 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lsu Health Sciences Center Shreveport Faculty Group PracticeGroup PAC ID 4082902721, 567 clinicians

Renal Associates of Northeast Louisiana ApmcGroup PAC ID 8921143694, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fmcna - Ouachita Dialysis Dialysis facility, West Monroe, LA, CCN 192582
• Ochsner Lsu Health Monroe Hospital, Monroe, LA, CCN 190011
• Fmol Health St Francis Hospital, Monroe, LA, CCN 190125
• Franklin Medical Center Hospital, Winnsboro, LA, CCN 190140
• Morehouse General Hospital Hospital, Bastrop, LA, CCN 190116
• Richland Parish Hospital-Delhi Hospital, Delhi, LA, CCN 191323

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dpruett16391@direct.casso.us.com

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.

• Lsu Health Sciences Center Shreveport Faculty Group Practice

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1013374222

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Renal Associates of Northeast Louisiana Apmc

  • Nephrology Physician
  • West Monroe, LA
  • NPI 1154319762
  Medicare reassignment Care Compare group NPD
• Northeast Renal & Dialysis, a Professional Medical Corporation

  • Nephrology Physician
  • Monroe, LA
  • NPI 1578989505
  Authorized official Same address or phone

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bio-Medical Applications of Louisiana, LLC

  dba Bma Ouachita Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • West Monroe, LA
  • NPI 1922110782

  Dialysis facility

  Care Compare affiliation Name & address match
• Brfhh Monroe LLC

  dba Ochsner LSU Health Monroe

  • General Acute Care Hospital
  • Monroe, LA
  • NPI 1215939210
  Care Compare affiliation
• Franklin Parish Hospital Service Dist 1

  dba Franklin Medical Center

  • Rural Acute Care Hospital
  • Winnsboro, LA
  • NPI 1356399539
  Care Compare affiliation
• Hospital Service District No 1-a of the Parish of Richland State of la

  dba Richland Parish Hospital

  • Critical Access Hospital
  • Delhi, LA
  • NPI 1336109768
  Care Compare affiliation
• Morehouse General Hospital

  • General Acute Care Hospital
  • Bastrop, LA
  • NPI 1003898313
  Care Compare affiliation
• St Francis Medical Center, Inc

  • General Acute Care Hospital
  • Monroe, LA
  • NPI 1295723229
  Care Compare affiliation

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1396956165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 THOMAS RD STE 1",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712927903",
            "telephone_number": "318-325-5435",
            "fax_number": "318-325-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 THOMAS RD STE 1",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712927903",
            "telephone_number": "318-325-5435",
            "fax_number": "318-325-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUETT",
        "first_name": "DAVID",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "T-1940",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "MD.204452",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MS",
            "license": "20439",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2152203",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpruett47377@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "401 Thomas Rd Ste 1",
            "city": "West Monroe",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712927903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Provision Health Care LLC (Family Convenience Clinic)
• Michael M Provost, RPH
• Mallory Gayle Pruden, D.D.S.
• Alexis Prudhomme
• Quality Home Health Inc (Serenity Homecare)
• Jasper Queen, LOTR
• Radiology Consultants
• Maranda Jones Ragsdale, SLP
• Ralph G. Asbury, MD, Apmc

• Nephrology Physician in West Monroe, LA
• Providers in West Monroe, LA by specialty
• Nephrology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.

Verify at the official NPI Registry.