NPIMap

Individual provider Active NPI

Thomas Ryan Gullatt, MD

  • Clinical Cardiac Electrophysiology Physician
  • Baton Rouge, LA
National Provider Identifier
1750701421
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
326260 Issued in LA
Practice address
8401 Picardy Ave
Baton Rouge, LA 70809-3685
Phone
(225) 308-0247
Fax
(225) 308-0249
NPI assigned
Apr 22, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10050266 TX
Cardiovascular Disease Physician 207RC0000X R2112 TX
Clinical Cardiac Electrophysiology Physician 207RC0001X 326260 LA Primary

Addresses

Primary practice location

8401 Picardy Ave
Baton Rouge, LA 70809-3685

Mailing address

8401 Picardy Ave
Baton Rouge, LA 70809-3685
Phone (225) 308-0247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170620000536 TX Practitioner - Internal Medicine 3779851522 Reassigns benefits to 1 organization
I20230825001964 LA Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 3779851522 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Institute of the South, LLCGroup PAC ID 3779497441, 145 clinicians

Practice addresses (Care Compare)

6300 Main St
Zachary, LA 70791-4037
Phone (225) 570-2618

8401 Picardy Ave
Baton Rouge, LA 70809-3685
Phone (225) 308-0247

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10050266TXMDInternal Medicine Physician
326260LAMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Institute of the South, LLC Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Utmb Faculty Group Practice Internal Medicine CurrentSince May 2, 2017 Accepting new patients
Hospital Service District 1 of East Baton Rouge Parish CurrentSince Jan 10, 2026 Accepting new patients
Hospital Service District 1 of East Baton Rouge Parish CurrentSince Jan 10, 2026 Accepting new patients

Locations

8401 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 308-0247

1901 Manhattan Blvd
Ste A200
Harvey, LA 70058
Phone (504) 354-5252

500 N Lewis St
Ste 100
New Iberia, LA 70563
Phone (337) 367-5200

6300 Main St
Zachary, LA 70791
Phone (225) 570-2618

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1750701421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 PICARDY AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093685",
            "telephone_number": "225-308-0247",
            "fax_number": "225-308-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 PICARDY AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093685",
            "telephone_number": "225-308-0247",
            "fax_number": "225-308-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLATT",
        "first_name": "THOMAS",
        "middle_name": "RYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-22",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10050266",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "R2112",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "LA",
            "license": "326260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.