Individual provider Active NPI

Stratton Grisoli, M.D.

  • Dermatology Physician
  • Covington, LA
National Provider Identifier
1447678610
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD.208001 Issued in LA
Practice address
150 Lakeview Cir
Covington, LA 70433-7512
Phone
(985) 892-3376
Fax
(985) 892-2055
NPI assigned
Apr 3, 2014
Last updated
Oct 11, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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
Dermatology Physician 207N00000X MD.208001 LA Primary

Addresses

Primary practice location

150 Lakeview Cir
Covington, LA 70433-7512

Mailing address

150 Lakeview Cir
Covington, LA 70433-7512
Phone (985) 892-3376

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
I20180803002106 LA Practitioner - Dermatology 4688972078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Louisiana State University School of Medicine in New Orleans, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baldone Dermatology, ApmcGroup PAC ID 1759392160, 3 clinicians

Practice addresses (Care Compare)

150 Lakeview Cir
Covington, LA 70433-7512
Phone (985) 892-3376

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.38 of 100Reported as group
Quality
80.75
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision24
Removal of skin lesions898
Removal or shaving of skin growth1-10
Skin biopsy211

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.208001LAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baldone Dermatology, Apmc CurrentSince Sep 1, 2018 Accepting new patients

Locations

150 Lakeview Cir
Covington, LA 70433
Phone (985) 626-7546

Organizations & group practices 1

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.

Hospital & facility affiliations 7

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": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1447678610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 LAKEVIEW CIR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337512",
            "telephone_number": "985-892-3376",
            "fax_number": "985-892-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 LAKEVIEW CIR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337512",
            "telephone_number": "985-892-3376",
            "fax_number": "985-892-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISOLI",
        "first_name": "STRATTON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-03",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "MD.208001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.