Individual provider Active NPI

Madeline Moore Dills, MD

  • Vascular Surgery Physician
  • Baton Rouge, LA
National Provider Identifier
1629538996
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
343347 Issued in LA
Practice address
8585 Picardy Ave Ste 310
Baton Rouge, LA 70809-3749
Phone
(225) 767-5479
NPI assigned
Mar 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Vascular Surgery Physician 2086S0129X 343347 LA Primary

Addresses

Primary practice location

8585 Picardy Ave Ste 310
Baton Rouge, LA 70809-3749

Mailing address

8585 Picardy Ave Ste 310
Baton Rouge, LA 70809-3749
Phone (225) 767-5479

Other practice location 1

505 E Airport Ave
Baton Rouge, LA 70806-6515
Phone (225) 769-2572

Other names 1

  • Madeline Celeste Moore Former name

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
I20240905004253 LA Practitioner - Vascular Surgery 0345576468 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baton Rouge Vascular Access LLCGroup PAC ID 2769655075, 8 clinicians
Cardiovascular Specialty Care Center of Baton Rouge LLCGroup PAC ID 2769882992, 13 clinicians
Lsuhn Billing LLCGroup PAC ID 0446337802, 203 clinicians

Practice addresses (Care Compare)

505 E Airport Ave
Baton Rouge, LA 70806-6515
Phone (225) 769-2572

7373 Perkins Rd
Baton Rouge, LA 70808-4326
Phone (225) 246-9790

7777 Hennessy Blvd
Suite 215
Baton Rouge, LA 70808-4365
Phone (225) 767-9878

8585 Picardy Ave
Suite 310
Baton Rouge, LA 70809-3749
Phone (225) 767-5479

9032 Perkins Rd
Baton Rouge, LA 70810-1507
Phone (225) 768-5700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.72 of 100Reported as group
Quality
77.03
Improvement activities
40
Cost
83.02

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)13
Removal of tissue13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
343347LAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Specialty Care Center of Baton Rouge LLC CurrentSince Nov 9, 2024 Accepting new patients
Baton Rouge Vascular Access LLC CurrentSince Sep 1, 2024 Accepting new patients
Lsuhn Billing LLC CurrentSince Sep 21, 2024 Accepting new patients
Jon V. Schellack, M.D. (a Professional Medical Corporation) Vascular Surgery CurrentSince Sep 1, 2024 Accepting new patients
Baton Rouge Clinic, a Medical Corporation CurrentSince Nov 1, 2024 Accepting new patients
Lsuhn Billing LLC CurrentSince Sep 21, 2024 Accepting new patients
Baton Rouge Clinic, a Medical Corporation Vascular Surgery CurrentSince Nov 1, 2024 Accepting new patients
Our Lady of the Lake Hospital Inc. Past Accepting new patients
Baton Rouge Vascular Access ASC LLC Past Accepting new patients

Locations

505 E Airport Ave
Baton Rouge, LA 70806
Phone (225) 201-0950

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

505 E Airport Ave
Ste B
Baton Rouge, LA 70806

7777 Hennessy Blvd
Ste 215
Baton Rouge, LA 70808
Phone (225) 456-5383

7373 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 246-9790

8585 Picardy Ave
Ste 310
Baton Rouge, LA 70809
Phone (225) 767-5479

9032 Perkins Rd
Baton Rouge, LA 70810
Phone (225) 358-4853

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

3000 34th St
Metairie, LA 70001
Phone (504) 224-2506

Interoperability endpoints

  • FHIR API: https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://app.meldrx.com/api/fhir/gemms-bat01
  • Direct secure messaging: madeline.dills.p110@direct.aac.nextgenshare.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 7

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": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1629538996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8585 PICARDY AVE STE 310",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093749",
            "telephone_number": "225-767-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8585 PICARDY AVE STE 310",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093749",
            "telephone_number": "225-767-5479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 E Airport Ave",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708066515",
            "country_code": "US",
            "telephone_number": "225-769-2572",
            "fax_number": "225-769-2576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILLS",
        "first_name": "MADELINE",
        "middle_name": "MOORE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "LA",
            "license": "343347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADELINE",
            "last_name": "MOORE",
            "middle_name": "CELESTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.