Individual provider Active NPI

Brian Keith Calhoun, M.D.

  • Family Medicine Physician
  • Monroe, LA
National Provider Identifier
1780697227
Registry record updated May 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
024133 Issued in LA
Practice address
4400 Old Sterlington Rd
Monroe, LA 71203-2396
Phone
(318) 324-1414
Fax
(318) 324-2120
NPI assigned
Aug 15, 2006
Last updated
May 23, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 024133 LA Primary

Addresses

Primary practice location

4400 Old Sterlington Rd
Monroe, LA 71203-2396

Mailing address

4400 Old Sterlington Rd
Monroe, LA 71203-2396
Phone (318) 324-1414

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
I20050616000635 LA Practitioner - Family Practice 3870537293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Keith Calhoun, a Professional Medical CorporationGroup PAC ID 6608905054, 2 clinicians

Practice addresses (Care Compare)

4400 Old Sterlington Rd
Monroe, LA 71203-2396
Phone (318) 324-1414

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.03 of 100Reported as individual
Quality
92.06
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024133LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Keith Calhoun, a Professional Medical Corporation CurrentSince Jan 1, 2010 Accepting new patients

Locations

4400 Old Sterlington Rd
Monroe, LA 71203
Phone (318) 324-1414

Interoperability endpoints

  • Direct secure messaging: keithcalhounmd.keithcalhoun@120130.advancedmd-direct.com

Organizations & group practices 1

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.

Hospital & facility affiliations 10

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495497600000",
    "number": "1780697227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 OLD STERLINGTON RD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032396",
            "telephone_number": "318-324-1414",
            "fax_number": "318-324-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 OLD STERLINGTON RD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032396",
            "telephone_number": "318-324-1414",
            "fax_number": "318-324-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALHOUN",
        "first_name": "BRIAN",
        "middle_name": "KEITH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2017-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "024133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.