Individual provider Active NPI

Shaun Lapleau McIntire, M.D., M.P.H., F.A.C.

  • Internal Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1619965340
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.020374 Issued in LA
Practice address
1401 N Foster Dr
Baton Rouge, LA 70806-1818
Phone
(225) 987-9013
Fax
(225) 987-9093
NPI assigned
Oct 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X MD.020374 LA
Internal Medicine Physician 207R00000X MD.020374 LA Primary

Addresses

Primary practice location

1401 N Foster Dr
Baton Rouge, LA 70806-1818

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 987-9013

Other practice location 1

503 McMillan Rd
West Monroe, LA 71291-5327
Phone (318) 329-4744

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address smcintire5163914@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: 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
I20031119000200 LA Practitioner - Internal Medicine 3779497177 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Tulane University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Our Lady of the Lake Physician Group LLCGroup PAC ID 4587849781, 637 clinicians

Practice addresses (Care Compare)

1401 N Foster Dr
Lsu Mid City Diabetic Foot and Wound Clinic
Baton Rouge, LA 70806-1818
Phone (225) 987-9013

Hospital & facility affiliations

  • Our Lady of the Lake Regional Medical Center Hospital, Baton Rouge, LA, CCN 190064

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Louisiana Emergency Physicians LLP Hospitalist CurrentSince Oct 1, 2014 Accepting new patients
Our Lady of the Lake Physician Group, LLC CurrentSince Jan 16, 2023 Accepting new patients
Our Lady of the Lake Physician Group LLC Internal Medicine Current Accepting new patients
Physician Group of Louisiana Inc CurrentSince Nov 16, 2023 Accepting new patients
Our Lady of the Lake Physician Group LLC CurrentSince Jan 16, 2023 Accepting new patients
Northern Louisiana Emergency Physicians LLP CurrentSince Oct 1, 2014 Accepting new patients
Physician Group of Louisiana Inc CurrentSince Nov 16, 2023 Accepting new patients
Quick Care of Monroe, LLC Past Accepting new patients
Our Lady of the Lake Physician Group LLC Past Accepting new patients

Locations

1401 N Foster Dr
Baton Rouge, LA 70806
Phone (225) 987-9000

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

1125 W Highway 30
Gonzales, LA 70737
Phone (225) 621-2975

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

503 McMillan Rd
Fl 2
West Monroe, LA 71291
Phone (318) 329-3475

503 McMillan Rd
West Monroe, LA 71291
Phone (318) 329-4200

Interoperability endpoints

  • Direct secure messaging: smcintire5163914@direct.casso.us.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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1619965340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-987-9013",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N FOSTER DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708061818",
            "telephone_number": "225-987-9013",
            "fax_number": "225-987-9093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "503 McMillan Rd",
            "address_purpose": "LOCATION",
            "city": "West Monroe",
            "state": "LA",
            "postal_code": "712915327",
            "country_code": "US",
            "telephone_number": "318-329-4744",
            "fax_number": "318-329-4719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINTIRE",
        "first_name": "SHAUN",
        "middle_name": "LAPLEAU",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H., F.A.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "LA",
            "license": "MD.020374",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.020374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smcintire5163914@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "smcintire5163914@direct.casso.us.com",
            "address_1": "1401 N Foster Dr",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708061818",
            "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": "1401 N Foster Dr",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708061818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.