Individual provider Active NPI

Michelle Antoinette Pittman, MD

  • Surgical Critical Care Physician
  • Minden, LA
National Provider Identifier
1740460351
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
MD.201400 Issued in LA
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1041611MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, NM, MT, WA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20071220000651 LA Practitioner - General Surgery 5698865103 Reassigns benefits to 1 organization
I20221205003002 NM Practitioner - General Surgery 5698865103 Reassigns benefits to 2 organizations
I20260116003067 MT Practitioner - General Surgery 5698865103 Reassigns benefits to 2 organizations
I20260512000727 WA Practitioner - General Surgery 5698865103 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Colonoscopy1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.201400LAMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Memorial Hospital CurrentSince Mar 4, 2019 Accepting new patients
Presbyterian Healthcare Services CurrentSince Nov 1, 2022 Accepting new patients
Presbyterian Healthcare Services CurrentSince Nov 1, 2022 Accepting new patients
Barrett Hospital Development Corporation CurrentSince Feb 1, 2026 Accepting new patients
Delta Memorial Hospital CurrentSince Mar 4, 2019 Accepting new patients
Barrett Hospital Development Corporation CurrentSince Feb 1, 2026 Accepting new patients
Barrett Hospital Development Corporation CurrentSince Feb 1, 2026 Accepting new patients
Minden Physician Practices LLC CurrentSince Jul 1, 2024 Accepting new patients
Minden Physician Practices LLC CurrentSince Jul 1, 2024 Accepting new patients
Drew Surgical Services LLC CurrentSince Aug 3, 2015 Accepting new patients
Los Alamos Physician Practices LLC CurrentSince Sep 1, 2025 Accepting new patients
Los Alamos Physician Practices, LLC CurrentSince Sep 1, 2025 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

  • FHIR API: https://fhir-usa.unify.chbase.com/org/deltamh-91f47cd8
  • Direct secure messaging: michelle.pittman.1@19849.direct.athenahealth.com
  • Direct secure messaging: minmpittm@yourcarecommunity.org
  • Direct secure messaging: mpittman221160@direct.phs.org
  • Direct secure messaging: 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.

View all 14

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.