Individual provider Active NPI

Mary Janine O Hopkins, MD

  • Dermatology Physician
  • Monroe, LA
National Provider Identifier
1851316590
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
021601 Issued in LA
Practice address
2509 Broadmoor Blvd
Ste a
Monroe, LA 71201-2987
Phone
(318) 325-0600
Fax
(318) 325-0890
NPI assigned
Jul 13, 2006
Last updated
May 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 021601 LA Primary

Addresses

Primary practice location

2509 Broadmoor Blvd
Ste a
Monroe, LA 71201-2987

Mailing address

2509 Broadmoor Blvd
Ste a
Monroe, LA 71201-2987
Phone (318) 325-0600

Other practice location 1

321 W Southlake Blvd Ste 180
Southlake, TX 76092-6287
Phone (682) 271-0988

Other identifiers 1

IdentifierTypeStateIssuer
1660752MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20031224000006 LA Practitioner - Dermatology 0749188993 Reassigns benefits to 1 organization
I20210602000759 TX Practitioner - Dermatology 0749188993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Louisiana State University School of Medicine in Shreveport, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hopkins Dermatology ApmcGroup PAC ID 6709945272, shared by 2 NPIs, 5 clinicians

Practice addresses (Care Compare)

2509 Broadmoor Blvd
Suite a
Monroe, LA 71201-3184

321 W Southlake Blvd
180 Hopkins Dermatology Texas PLLC
Southlake, TX 76092-6287
Phone (682) 271-0988

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.47 of 100Reported as individual
Quality
82.94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions556
Removal or shaving of skin growth125
Skin biopsy272

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8005LAMDProfessional Counselor
021601LAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hopkins Dermatology Apmc CurrentSince Sep 4, 2007 Accepting new patients
Hopkins Dermatology Texas PLLC Dermatology Current Accepting new patients
Hopkins Dermatology Apmc Dermatology CurrentSince Sep 4, 2007 Accepting new patients
Stanocola Employees Medical and Hospital Association, Inc Past Accepting new patients

Locations

2509 Broadmoor Blvd
Ste A
Monroe, LA 71201
Phone (318) 325-0600

321 W Southlake Blvd
Ste 1
Southlake, TX 76092
Phone (682) 271-0988

321 W Southlake Blvd
Ste 180
Southlake, TX 76092
Phone (682) 271-0988

Interoperability endpoints

  • Direct secure messaging: mhopkins@directaddress.net

Organizations & group practices 4

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 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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1851316590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 BROADMOOR BLVD",
            "address_2": "STE A",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712012987",
            "telephone_number": "318-325-0600",
            "fax_number": "318-325-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 BROADMOOR BLVD",
            "address_2": "STE A",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712012987",
            "telephone_number": "318-325-0600",
            "fax_number": "318-325-0890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 W Southlake Blvd Ste 180",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760926287",
            "country_code": "US",
            "telephone_number": "682-271-0988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOPKINS",
        "first_name": "MARY JANINE",
        "middle_name": "O",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "021601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1660752",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.