Individual provider Active NPI

Mamina Turegano, M.D.

  • Dermatology Physician
  • Baton Rouge, LA
National Provider Identifier
1740415652
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD.014095 Issued in LA
Practice address
6411 Perkins Rd Ste 100
Baton Rouge, LA 70808
Phone
(225) 303-9500
Fax
(225) 303-9501
NPI assigned
May 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD.014095 LA Primary

Addresses

Primary practice location

6411 Perkins Rd Ste 100
Baton Rouge, LA 70808

Mailing address

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

Other practice location 1

4660 Kenmore Ave
Suite 500
Alexandria, VA 22304-1313
Phone (703) 370-0073

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170214000267 LA Practitioner - Dermatology 4284850058 Reassigns benefits to 1 organization
I20210316001023 TX Practitioner - Dermatology 4284850058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Louisiana State University School of Medicine in New Orleans, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermasurgery Center LLCGroup PAC ID 8022182922, 6 clinicians

Practice addresses (Care Compare)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions262
Removal or shaving of skin growth1-10
Skin biopsy42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.014095LAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermasurgery Center, LLC Dermatology CurrentSince May 1, 2018 Accepting new patients

Locations

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

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

701 Metairie Rd
Ste 21205
Metairie, LA 70005
Phone (504) 836-2050

701 Metairie Rd
Ste 2A205
Metairie, LA 70005
Phone (504) 836-2050

701 Metairie Rd
Ste 2A205S
Metairie, LA 70005

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1740415652",
    "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": "70808",
            "telephone_number": "225-303-9500",
            "fax_number": "225-303-9501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4660 Kenmore Ave",
            "address_2": "Suite 500",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223041313",
            "country_code": "US",
            "telephone_number": "703-370-0073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUREGANO",
        "first_name": "MAMINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-20",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "MD.014095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.