NPIMap

Individual provider Active NPI

Bobby Taylor Ensminger, M.D.

  • Family Medicine Physician
  • Ruston, LA
National Provider Identifier
1508813742
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L15027R Issued in LA
Practice address
1200 Celebrity Dr Ste 1
Ruston, LA 71270-3894
Phone
(318) 232-1590
Fax
(318) 232-1221
NPI assigned
May 30, 2006
Last updated
Sep 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L15027R LA Primary

Addresses

Primary practice location

1200 Celebrity Dr Ste 1
Ruston, LA 71270-3894

Mailing address

411 E Vaughn Ave Ste 202
Ruston, LA 71270-5977
Phone (318) 255-8271

Other practice location 1

411 E Vaughn Ave Ste 202
Ruston, LA 71270-5977
Phone (318) 255-8271

Other identifiers 1

IdentifierTypeStateIssuer
1163384MedicaidLA

Other names 1

  • Dr. Bobby Taylor Ensminger Professional name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bensminger13013@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031217000314 LA Practitioner - Family Practice 3870490980 Reassigns benefits to 1 organization
Practice locations: Ruston, LA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CLHG-Ruston LLCGroup PAC ID 7315361425, 24 clinicians

Practice addresses (Care Compare)

1200 Celebrity Dr
Suite 1
Ruston, LA 71270-3894
Phone (318) 255-8271

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L15027RLAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CLHG-Ruston LLC Family Medicine Current Accepting new patients
CLHG-Ruston LLC CurrentSince Oct 1, 2023 Accepting new patients
CLHG-Ruston LLC Family Medicine CurrentSince Oct 1, 2023 Accepting new patients
St Francis Medical Center, Inc PastSince Apr 10, 2015 Accepting new patients
Booneville Community Hospital, Inc. Past Accepting new patients
CLHG-Ruston LLC Family Medicine Past Accepting new patients
Winn Family Medicine LLC Family Medicine Past Accepting new patients
Booneville Community Hospital, Inc Past Accepting new patients
Sparks Medical Foundation Family Medicine Past Accepting new patients

Locations

1200 Celebrity Dr
Ruston, LA 71270
Phone (318) 232-1599

1200 Celebrity Dr
Ste 1
Ruston, LA 71270
Phone (318) 232-1590

401 E Vaughn Ave
Ruston, LA 71270
Phone (318) 254-2100

411 E Vaughn Ave
Ste 104
Ruston, LA 71270
Phone (318) 254-2453

411 E Vaughn Ave
Ste 202
Ruston, LA 71270
Phone (318) 255-8271

Interoperability endpoints

  • Direct secure messaging: bensminger13013@direct.casso.us.com
  • Direct secure messaging: bobby.ensminger.3@26990.direct.athenahealth.com

Organizations & group practices 9

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 9

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1508813742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E VAUGHN AVE STE 202",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705977",
            "telephone_number": "318-255-8271",
            "fax_number": "318-255-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CELEBRITY DR STE 1",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712703894",
            "telephone_number": "318-232-1590",
            "fax_number": "318-232-1221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 E Vaughn Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Ruston",
            "state": "LA",
            "postal_code": "712705977",
            "country_code": "US",
            "telephone_number": "318-255-8271",
            "fax_number": "318-255-8260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENSMINGER",
        "first_name": "BOBBY",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "L15027R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1163384",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bensminger13013@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "bensminger13013@direct.casso.us.com",
            "address_1": "1200 Celebrity Dr Ste 1",
            "city": "Ruston",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712703894",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1200 Celebrity Dr Ste 1",
            "city": "Ruston",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712703894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BOBBY",
            "last_name": "ENSMINGER",
            "middle_name": "TAYLOR",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ruston, LA

Sources for this page

Verify at the official NPI Registry.