Individual provider Active NPI

Robert V Blanche, M.D.

  • Psychiatry Physician
  • Baton Rouge, LA
National Provider Identifier
1457575334
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
16158 Issued in LA
Practice address
7865 Jefferson Hwy
Ste D
Baton Rouge, LA 70809-1384
Phone
(225) 928-2468
Fax
(225) 928-2498
NPI assigned
Apr 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 16158 LA Primary

Addresses

Primary practice location

7865 Jefferson Hwy
Ste D
Baton Rouge, LA 70809-1384

Mailing address

7865 Jefferson Hwy
Ste D
Baton Rouge, LA 70809-1384
Phone (225) 928-2468

Other identifiers 1

IdentifierTypeStateIssuer
1353086MedicaidLA

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
I20090224000285 LA Practitioner - Psychiatry 7315980174 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16158LAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seaside Health System, LLC Psychiatry CurrentSince Dec 1, 2017 Accepting new patients
Seaside Health System, LLC CurrentSince Dec 1, 2017 Accepting new patients

Locations

4363 Convention St
Baton Rouge, LA 70806
Phone (225) 300-4376

Organizations & group practices 2

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1457575334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7865 JEFFERSON HWY",
            "address_2": "STE D",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091384",
            "telephone_number": "225-928-2468",
            "fax_number": "225-928-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7865 JEFFERSON HWY",
            "address_2": "STE D",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091384",
            "telephone_number": "225-928-2468",
            "fax_number": "225-928-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHE",
        "first_name": "ROBERT",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "16158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1353086",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.