Chad Thomas Porter, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD.201618 Issued in LA

Practice address

2106 Loop Rd
Winnsboro, LA 71295-3344

Phone

(318) 435-9411

NPI assigned

Nov 7, 2007

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in LA, TX2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

Louisiana State University School of Medicine in Shreveport, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians

Memorial MRI and Diagnostic LLCGroup PAC ID 6507859568, 77 clinicians

Concordia Parish Hospital Service District Number OneGroup PAC ID 4587559935, shared by 5 NPIs, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles (60 of 80)

Locations (25 of 40)

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/21ed112e-ec5e-43b1-8ddc-cd3753841e6e/
• FHIR API: https://fhir-usa.unify.chbase.com/org/caldmem-57e7c173
• FHIR API: https://fhir4.healow.com/fhir/r4/CHHACD

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.

• Smi Imaging, LLC

  dba Simonmed Imaging

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
  • NPI 1972004489

  TX

  Medicare reassignment Care Compare group NPD
• Memorial MRI and Diagnostic LLC

  • Diagnostic Radiology Physician
  • Houston, TX
  • NPI 1912989120
  Medicare reassignment Care Compare group
• Salient Radiology Associates, PLLC

  • Diagnostic Radiology Physician
  • Spring, TX
  • NPI 1205230133

  LA

  Medicare reassignment Authorized official
• Acadia-St. Landry Hospital Service District

  dba Acadia St. Landry Hospital

  • Emergency Medicine Physician
  • Church Point, LA
  • NPI 1518981968
  Medicare reassignment NPD
• Administrators of the Tulane Educational Fund

  dba Tulane University Medical Group

  • Specialist
  • New Orleans, LA
  • NPI 1528014164
  Medicare reassignment NPD
• Allegiance Hospital of Many, LLC

  dba Sabine Medical Center

  • General Acute Care Hospital
  • Many, LA
  • NPI 1568626273
  Medicare reassignment NPD
• Allen Parish Hospital District No 3

  dba Allen Parish Hospital

  • Psychiatric Hospital Unit
  • Kinder, LA
  • NPI 1982601944
  Medicare reassignment NPD
• Caldwell Memorial Hospital, Inc.

  • Emergency Medicine Physician
  • Columbia, LA
  • NPI 1023283793
  Medicare reassignment NPD
• CLHG-Acadian LLC

  dba Acadian Medical Center

  • Family Medicine Physician
  • Eunice, LA
  • NPI 1942977657

  Diagnostic Radiology

  Medicare reassignment NPD
• CLHG-Avoyelles LLC

  • General Acute Care Hospital
  • Marksville, LA
  • NPI 1639618853
  Medicare reassignment NPD
• CLHG-Oakdale LLC

  dba Oberlin Express Care

  • Rural Health Clinic/Center
  • Oberlin, LA
  • NPI 1063111920
  Medicare reassignment NPD
• CLHG-Ville Platte LLC

  dba Mercy Regional Medical Center

  • Anesthesiology Physician
  • Ville Platte, LA
  • NPI 1285811927

  Diagnostic Radiology

  Medicare reassignment NPD

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1669652665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PALOMA BEND PLACE",
            "city": "WOODLANDS",
            "state": "TX",
            "postal_code": "77389",
            "telephone_number": "713-818-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 LOOP RD",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712953344",
            "telephone_number": "318-435-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "CHAD",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-07",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "P1211",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "MD.201618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1669652665",
            "identifier": "NPI",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "201618",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "2085R0202X",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "35010",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1217077",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Williams Perry, FNP-C
• Shelia Katheleen Perry, FNP-BC
• Matthew Robert Petit, PHARMD
• Courtney Kemper Pickett, CCC-SLP
• Plantation Manor Nursing & Rehabilitation Center, LLC (Plantation Manor Nursing & Rehabilitation Center)
• Powell Medical Transportation, LLC
• Pauline T Powell
• Emily Diane Pruitt
• Charles E Reed, M.D.
• Rehabilitation Services of Louisiana, LLC

• Diagnostic Radiology Physician in Winnsboro, LA
• Providers in Winnsboro, LA by specialty
• Diagnostic Radiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.