Active NPI
Michelle Antoinette Pittman, MD
- Surgical Critical Care Physician
- Minden, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- MD.201400
- Practice address
- 812 Broadway St
Minden, LA 71055-3309 - Phone
- (318) 377-4534
- Fax
- (318) 377-4535
- NPI assigned
- Nov 12, 2007
- Last updated
- May 9, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | E-8990 | AR | |
| Surgical Critical Care Physician | 2086S0102X | MD.201400 | LA | Primary |
Addresses
Primary practice location
812 Broadway St
Minden, LA 71055-3309
Mailing address
346 Homer Rd
Minden, LA 71055-2834
Phone (318) 377-4625
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1041611 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, NM, MT, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Louisiana State University School of Medicine in Shreveport, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1213 24TH St
Suite 700
Anacortes, WA 98221-2595
Phone (360) 293-5142
1302 Calle de la Merced
Suite E
Espanola, NM 87532-2630
Phone (505) 753-9292
3917 W Rd
Suite 137
Los Alamos, NM 87544-5307
Phone (505) 661-9526
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.201400 | LA | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delta Memorial Hospital | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Barrett Hospital Development Corporation | Current | Accepting new patients | |
| Delta Memorial Hospital | Current | Accepting new patients | |
| Barrett Hospital Development Corporation | Current | Accepting new patients | |
| Barrett Hospital Development Corporation | Current | Accepting new patients | |
| Minden Physician Practices LLC | Current | Accepting new patients | |
| Minden Physician Practices LLC | Current | Accepting new patients | |
| Drew Surgical Services LLC | Current | Accepting new patients | |
| Los Alamos Physician Practices LLC | Current | Accepting new patients | |
| Los Alamos Physician Practices, LLC | Current | Accepting new patients | |
| Minden Physician Practices LLC | Past | Accepting new patients |
Locations
811 Highway 65 S
Dumas, AR 71639
Phone (870) 382-4303
778 Scogin Dr
Monticello, AR 71655
Phone (870) 367-2411
778 Scogin Dr
Spc Llc
Monticello, AR 71655
Phone (870) 460-3515
1 Medical Plaza Pl
Minden, LA 71055
Phone (318) 371-4042
101 Murrell St
Ste 1
Minden, LA 71055
Phone (318) 371-4052
1111 Homer Rd
Minden, LA 71055
Phone (318) 377-7500
346 Homer Rd
Minden, LA 71055
Phone (318) 377-4625
812 Broadway St
Minden, LA 71055
Phone (318) 377-0010
30 MT Highway 91 S
Dillon, MT 59725
Phone (406) 414-5070
600 MT Highway 91 S
Dillon, MT 59725
Phone (406) 683-3001
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
2421 W 21st St
Ste B
Clovis, NM 88101
Phone (575) 742-7824
3917 West Rd
Ste 139
Los Alamos, NM 87544
Phone (505) 661-3030
3917 West Rd
Ste 200
Los Alamos, NM 87544
Phone (505) 309-0870
3917 West Rd
Ste 250
Los Alamos, NM 87544
Phone (505) 661-4147
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/deltamh-91f47cd8
- michelle.pittman.1@19849.direct.athenahealth.com
- minmpittm@yourcarecommunity.org
- mpittman221160@direct.phs.org
- mpittman370938@direct.nebraskamed.com
Organizations & group practices 14
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.
-
- Family Medicine Physician
- Los Alamos, NM
- NPI 1750330510
-
dba Lopez Island Medical Clinic
- Rural Health Clinic/Center
- Lopez, WA
- NPI 1740203967
-
- Multi-Specialty Clinic/Center
- Minden, LA
- NPI 1497986764
-
dba Barrett Hospital & HealthCare
- Critical Access Hospital
- Dillon, MT
- NPI 1326042078
-
- Critical Access Hospital
- Dillon, MT
- NPI 1396286480
-
dba Presbyterian Medical Group
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
dba Minden Medical Clinic of Haughton
- Rural Health Clinic/Center
- Haughton, LA
- NPI 1699392589
-
dba Barrett Hospital Clinic Twin Bridges
- Multi-Specialty Clinic/Center
- Twin Bridges, MT
- NPI 1265319255
-
- Clinic/Center
- Dumas, AR
- NPI 1083439012
-
- Critical Access Hospital
- Dumas, AR
- NPI 1295767689
-
dba Drew Surgical Specialists LLC
- Surgery Physician
- Monticello, AR
- NPI 1700287885
-
dba Los Alamos General Surgery Clinic
- Surgery Physician
- Los Alamos, NM
- NPI 1801075783
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Island Hospital
- General Acute Care Hospital
- Anacortes, WA
- NPI 1710913140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746748800000",
"number": "1740460351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "346 HOMER RD",
"city": "MINDEN",
"state": "LA",
"postal_code": "710552834",
"telephone_number": "318-377-4625",
"fax_number": "318-377-8837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 BROADWAY ST",
"city": "MINDEN",
"state": "LA",
"postal_code": "710553309",
"telephone_number": "318-377-4534",
"fax_number": "318-377-4535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTMAN",
"first_name": "MICHELLE",
"middle_name": "ANTOINETTE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-12",
"last_updated": "2025-05-09",
"certification_date": "2025-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "AR",
"license": "E-8990",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "LA",
"license": "MD.201400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1041611",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minden, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.