NPIMap

Individual provider Active NPI

Lydia F. Latour, MD

  • Internal Medicine Physician
  • Ocean Springs, MS
National Provider Identifier
1508838681
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15180 Issued in MS
Practice address
1135 Ocean Springs Rd
Ocean Springs, MS 39564-3421
Phone
(228) 875-6695
Fax
(228) 875-6696
NPI assigned
Feb 3, 2006
Last updated
Aug 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 15180 MS
Internal Medicine Physician 207R00000X 15180 MS Primary
Hematology (Internal Medicine) Physician 207RH0000X 15180 MS
Medical Oncology Physician 207RX0202X 15180 MS

Addresses

Primary practice location

1135 Ocean Springs Rd
Ocean Springs, MS 39564-3421

Mailing address

1135 Ocean Springs Rd
Ocean Springs, MS 39564-3421
Phone (228) 875-6695

Other identifiers 1

IdentifierTypeStateIssuer
0018108MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20070501000257 MS Practitioner - Internal Medicine 7012013477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Alabama College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Exceed Physical Therapy, LLCGroup PAC ID 8123378338, 72 clinicians

Practice addresses (Care Compare)

1135 Ocean Springs Rd
Ocean Springs, MS 39564-3421
Phone (228) 875-6695

12261 Hwy 49
Suite 1
Gulfport, MS 39503-2976
Phone (228) 265-7185

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.19 of 100Reported as individual
Quality
94.09
Improvement activities
40
Cost
75.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15180MSMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Wave Internal Medicine Clinic, PLLC Specialist Current Accepting new patients
Lydia Latour, MD., PLLC Internal Medicine CurrentSince Sep 1, 2016 Accepting new patients

Locations

1135 Ocean Springs Rd
Ocean Springs, MS 39564
Phone (228) 875-6695

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AAFBCA

Organizations & group practices 3

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 67

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 67

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1508838681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 OCEAN SPRINGS RD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643421",
            "telephone_number": "228-875-6695",
            "fax_number": "228-875-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 OCEAN SPRINGS RD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643421",
            "telephone_number": "228-875-6695",
            "fax_number": "228-875-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATOUR",
        "first_name": "LYDIA",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "15180",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "15180",
            "primary": true
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "MS",
            "license": "15180",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MS",
            "license": "15180",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018108",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

Verify at the official NPI Registry.