NPIMap

Individual provider Active NPI

Walter Kirk Mullins, M.D.

  • Gastroenterology Physician
  • Baton Rouge, LA
National Provider Identifier
1730154808
Registry record updated Nov 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
13040R Issued in LA
Practice address
9103 Jefferson Hwy.
Baton Rouge, LA 70809
Phone
(225) 927-1190
Fax
(225) 706-0160
NPI assigned
Feb 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 13040R LA Primary

Addresses

Primary practice location

9103 Jefferson Hwy.
Baton Rouge, LA 70809

Mailing address

9103 Jefferson Hwy.
Baton Rouge, LA 70809
Phone (225) 927-1190

Other identifiers 1

IdentifierTypeStateIssuer
1553301MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20040429001018 LA Practitioner - GastroenterologyPractitioner - Internal Medicine 3072500172 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Mississippi School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lsuhn Billing LLCGroup PAC ID 0446337802, 203 clinicians

Practice addresses (Care Compare)

764 N Acadia Rd
Suite a
Thibodaux, LA 70301-5009
Phone (985) 446-1958

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

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy88
Upper gastrointestinal (GI) endoscopy for acid reflux138

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13040RLAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lsuhn Billing LLC CurrentSince Feb 1, 2016 Accepting new patients
Lsuhn Billing LLC CurrentSince Feb 1, 2016 Accepting new patients
Texas Digestive Disease Consultants PLLC Gastroenterology CurrentSince Jun 24, 2018 Accepting new patients
Texas Digestive Disease Consultants, PLLC Gastroenterology CurrentSince Jun 24, 2018 Accepting new patients
Texas Digestive Disease Consultants, PLLC Gastroenterology Past Accepting new patients

Locations

9103 Jefferson Hwy
Baton Rouge, LA 70809
Phone (225) 927-1190

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

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

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

764 N Acadia Rd
Ste A
Thibodaux, LA 70301
Phone (985) 446-1958

Interoperability endpoints

  • Direct secure messaging: n10mullins@dhcla.directbygreenway.com

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415318400000",
    "number": "1730154808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9103 JEFFERSON HWY.",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70809",
            "telephone_number": "225-927-1190",
            "fax_number": "225-706-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9103 JEFFERSON HWY.",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70809",
            "telephone_number": "225-927-1190",
            "fax_number": "225-706-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "WALTER",
        "middle_name": "KIRK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2014-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "LA",
            "license": "13040R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1553301",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.