Individual provider Active NPI

Patrick Booth, MD

  • Internal Medicine Physician
  • Lafayette, LA
National Provider Identifier
1447286539
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD2014-0015 Issued in NM
Practice address
200 Corporate Blvd
Suite 201
Lafayette, LA 70508-3870
Phone
(800) 893-9698
NPI assigned
Jun 23, 2006
Last updated
Mar 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X K4375 TX
Internal Medicine Physician 207R00000X MD2014-0015 NM Primary

Addresses

Primary practice location

200 Corporate Blvd
Suite 201
Lafayette, LA 70508-3870

Mailing address

PO Box 162018
Austin, TX 78716-2018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TX, NM3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040415000290 MS Practitioner - Emergency MedicinePractitioner - Family Practice 0840285326 Reassigns benefits to 1 organization
I20050419001243 TX Practitioner - Emergency Medicine 0840285326 Reassigns benefits to 3 organizations
I20141018000016 NM Practitioner - Internal MedicinePractitioner - Emergency Medicine 0840285326 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
University of Mississippi School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Emergency Services Inc.Group PAC ID 5799697272, 35 clinicians
Fep West LLCGroup PAC ID 3375041270, 19 clinicians

Practice addresses (Care Compare)

1100 Belk Blvd
Oxford, MS 38655-5242
Phone (662) 232-8100

1901 Red Rock Dr
Gallup, NM 87301-5683
Phone (505) 863-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
43.55 of 100Reported as group
Quality
7.63
Improvement activities
40
Cost
81.19

Merit-based Incentive Payment System (MIPS)

Final score
86.46 of 100Reported as group
Quality
71.9
Improvement activities
40
Cost
87.09

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K4375TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Port Arthur Emergency Physicians Emergency Medicine CurrentSince Jan 1, 2016 Accepting new patients
Nes Arizona Inc Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Alteon Health New Mexico LLC Emergency Medicine CurrentSince Sep 1, 2014 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Mar 1, 2013 Accepting new patients
Lake Granbury Hospital-Based Professional Services Emergency Medicine CurrentSince Feb 12, 2024 Accepting new patients
Fedko Emergency Physicians New Mexico LLC Emergency Medicine CurrentSince Feb 7, 2024 Accepting new patients
Urgent Care Clinic of Oxford Family Medicine PastSince Dec 1, 2010 Accepting new patients
Capitol Emergency Associates PA Past Accepting new patients
East Texas Medical Center Healthcare Associates Emergency Medicine Past Accepting new patients
Rusk Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients
Capitol Emergency Associates PA Past Accepting new patients

Locations

200 Corporate Blvd
Ste 201
Lafayette, LA 70508

2430 W Pierce St
Carlsbad, NM 88220
Phone (505) 887-4100

1016 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-4446

42121 US Highway 70
Portales, NM 88130
Phone (505) 226-3627

405 W Country Club Rd
Roswell, NM 88201
Phone (505) 622-8170

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

100 Municipal Dr
Ste 300
Gun Barrel City, TX 75156
Phone (903) 713-1500

300 Wilson St
Henderson, TX 75652
Phone (903) 655-6536

501 S Ragsdale St
Jacksonville, TX 75766
Phone (903) 541-5000

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

6210 S Broadway Ave
Tyler, TX 75703
Phone (903) 579-2700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IABFAA
  • Direct secure messaging: pbooth@yourcarecommunity.org
  • Direct secure messaging: pbooth648609@direct.bmhcc.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1447286539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 162018",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787162018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "address_2": "SUITE 201",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "K4375",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2014-0015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.