Individual provider Active NPI

Robert Dale McKinney II, M.D.

  • Internal Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1780600270
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23156 Issued in LA
Practice address
2345 Oneal LN
Baton Rouge, LA 70816-3317
Phone
(225) 754-3278
Fax
(225) 754-3255
NPI assigned
Jul 15, 2006
Last updated
Dec 10, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 23156 LA Primary

Addresses

Primary practice location

2345 Oneal LN
Baton Rouge, LA 70816-3317

Mailing address

9001 Summa Ave
Baton Rouge, LA 70809-3726
Phone (225) 761-5200

Other identifiers 1

IdentifierTypeStateIssuer
1495034MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100123000212 LA Practitioner - Internal Medicine 3870596570 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23156LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Internal Medicine CurrentSince Aug 1, 1999 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic, LLC CurrentSince Aug 1, 1999 Accepting new patients
Ochsner Clinic LLC Past Accepting new patients
Ochsner Clinic LLC Internal Medicine Past Accepting new patients

Locations

9001 Summa Ave
Baton Rouge, LA 70809

1401 Jefferson Hwy
New Orleans, LA 70121
Phone (504) 842-4747

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

104 Acadia Park Dr
#9390
Raceland, LA 70394
Phone (225) 336-3100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1780600270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 SUMMA AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093726",
            "telephone_number": "225-761-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 ONEAL LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708163317",
            "telephone_number": "225-754-3278",
            "fax_number": "225-754-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "ROBERT",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "23156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1495034",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.