Individual provider Active NPI

Philip Mark Neal, MD

  • Dermatology Physician
  • Houma, LA
National Provider Identifier
1508058892
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD.202640 Issued in LA
Practice address
12 Professional Dr
Houma, LA 70360-4046
Phone
(985) 868-1810
NPI assigned
Aug 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD.202640 LA Primary

Addresses

Primary practice location

12 Professional Dr
Houma, LA 70360-4046

Mailing address

12 Professional Dr
Houma, LA 70360-4046
Phone (985) 868-1810

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
I20120702000326 LA Practitioner - Dermatology 4587829262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Louisiana State University School of Medicine in Shreveport, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke Neal Medical LLCGroup PAC ID 3779812557, 3 clinicians

Practice addresses (Care Compare)

12 Professional Dr
Houma, LA 70360-4046
Phone (985) 868-1810

Merit-based Incentive Payment System (MIPS)

Final score
88.79 of 100Reported as group
Quality
77.59
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision138
Removal of skin lesions1266
Removal of nail tissue1-10
Skin biopsy407

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.202640LAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William Wilder, Apmc Current Accepting new patients
Duke Neal Medical, LLC Dermatology CurrentSince Sep 1, 2019 Accepting new patients

Locations

12 Professional Dr
Houma, LA 70360
Phone (601) 918-1038

1151 Marguerite St
Ste 900
Morgan City, LA 70380
Phone (985) 380-4795

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": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1508058892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 PROFESSIONAL DR",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604046",
            "telephone_number": "985-868-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 PROFESSIONAL DR",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604046",
            "telephone_number": "985-868-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "PHILIP",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-10",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "MD.202640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.