Individual provider Active NPI

Karen Dantin, MD

  • Family Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1831153634
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
017815 Issued in LA
Practice address
15049 Florida Blvd
Baton Rouge, LA 70819-2602
Phone
(225) 218-0159
Fax
(225) 218-1233
NPI assigned
Apr 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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 017815 LA Primary

Addresses

Primary practice location

15049 Florida Blvd
Baton Rouge, LA 70819-2602

Mailing address

15049 Florida Blvd
Baton Rouge, LA 70819-2602
Phone (225) 218-0159

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
I20191028000544 LA Practitioner - Family Practice 4688833957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15049 Florida Blvd
Baton Rouge, LA 70819-2602
Phone (225) 330-6734

Hospital & facility affiliations

  • Baton Rouge General Medical Center Hospital, Baton Rouge, LA, CCN 190065
  • Womans Hospital Hospital, Baton Rouge, LA, CCN 190128

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17815LAMDSchool Social Worker
017815LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Karen Carmille Dantin Medical Clinic LLC Family Medicine CurrentSince Oct 1, 2019 Accepting new patients
Baton Rouge General Physicians, Inc. Family Medicine Past Accepting new patients

Locations

15049 Florida Blvd
Baton Rouge, LA 70819
Phone (225) 218-0159

Organizations & group practices 2

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 7

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1831153634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15049 FLORIDA BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708192602",
            "telephone_number": "225-218-0159",
            "fax_number": "225-218-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15049 FLORIDA BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708192602",
            "telephone_number": "225-218-0159",
            "fax_number": "225-218-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANTIN",
        "first_name": "KAREN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "017815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.