Individual provider Active NPI

Chad Landon Prather, M.D.

  • Procedural Dermatology Physician
  • Baton Rouge, LA
National Provider Identifier
1710095120
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
MD.200242 Issued in LA
Practice address
6411 Perkins Rd Ste 100
Baton Rouge, LA 70808-4125
Phone
(225) 303-9500
Fax
(225) 303-9501
NPI assigned
Aug 26, 2006
Last updated
Jan 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD.200242 LA
Dermatology Physician 207N00000X MD.27962 AL
MOHS-Micrographic Surgery Physician 207ND0101X MD.200242 LA
MOHS-Micrographic Surgery Physician 207ND0101X MD.27962 AL
Dermatopathology Physician 207ND0900X MD.200242 LA
Dermatopathology Physician 207ND0900X MD.27962 AL
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X MD.200242 LA
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X MD.27962 AL
Pediatric Dermatology Physician 207NP0225X MD.200242 LA
Pediatric Dermatology Physician 207NP0225X MD.27962 AL
Procedural Dermatology Physician 207NS0135X MD.27962 AL
Procedural Dermatology Physician 207NS0135X MD.200242 LA Primary

Addresses

Primary practice location

6411 Perkins Rd Ste 100
Baton Rouge, LA 70808-4125

Mailing address

6411 Perkins Rd Ste 100
Baton Rouge, LA 70808-4125
Phone (225) 303-9500

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
I20080811000034 LA Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 4789783226 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Louisiana State University School of Medicine in New Orleans, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Clinic a Professional Medical CorporationGroup PAC ID 6103856661, 13 clinicians
Derma LLCGroup PAC ID 5395270938, 3 clinicians

Practice addresses (Care Compare)

5326 O Donovan Dr
Baton Rouge, LA 70808-4691

5326 Odonovan Dr
Baton Rouge, LA 70808-4691
Phone (225) 769-7546

6411 Perkins Rd
Suite 202
Baton Rouge, LA 70808-5193
Phone (225) 800-6869

Merit-based Incentive Payment System (MIPS)

Final score
91.5 of 100Reported as group
Quality
84.54
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision210
Removal of tissue14
Removal of skin lesions60
Removal of skin cancer1290
Removal of nail tissue1-10
Skin biopsy72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.27962ALMDMOHS-Micrographic Surgery Physician
MD.200242LAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermasurgery Center, LLC Dermatology CurrentSince Aug 1, 2008 Accepting new patients
Hubbell Dermatology and Aesthetics a Professional Medical Corporation CurrentSince Oct 1, 2021 Accepting new patients
Derma LLC Dermatology CurrentSince Nov 1, 2024 Accepting new patients
Dermatology Clinic a Professional Medical Corporation Dermatology CurrentSince Sep 1, 2024 Accepting new patients
Skin Diagnostics Group, PC Past Accepting new patients

Locations

5326 Odonovan Dr
Baton Rouge, LA 70808
Phone (225) 768-2850

6411 Perkins Rd
Ste 100
Baton Rouge, LA 70808
Phone (225) 303-9500

6411 Perkins Rd
Ste 202
Baton Rouge, LA 70808
Phone (225) 800-6869

7414 Picardy Ave
Ste C
Baton Rouge, LA 70808
Phone (225) 303-9500

1245 Camellia Blvd
Ste 300
Lafayette, LA 70508
Phone (337) 839-2773

309 Settlers Trace Blvd
#100
Lafayette, LA 70508
Phone (337) 981-6065

111 Veterans Memorial Blvd
Ste 406
Metairie, LA 70005
Phone (504) 838-8225

Interoperability endpoints

  • Direct secure messaging: cprather@sanovaderm.emadirect.md

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1710095120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6411 PERKINS RD STE 100",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084125",
            "telephone_number": "225-303-9500",
            "fax_number": "225-303-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6411 PERKINS RD STE 100",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084125",
            "telephone_number": "225-303-9500",
            "fax_number": "225-303-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATHER",
        "first_name": "CHAD",
        "middle_name": "LANDON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "MD.200242",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "MD.27962",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "LA",
            "license": "MD.200242",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "AL",
            "license": "MD.27962",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "LA",
            "license": "MD.200242",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "AL",
            "license": "MD.27962",
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "LA",
            "license": "MD.200242",
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "AL",
            "license": "MD.27962",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "LA",
            "license": "MD.200242",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "AL",
            "license": "MD.27962",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "AL",
            "license": "MD.27962",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "LA",
            "license": "MD.200242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.