Clyde Joseph Patroni Jr., M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

AS3351311-4178 Issued in LA

Practice address

5825 Airline Hwy
Baton Rouge, LA 70805-2408

Phone

(225) 358-3940

Fax

(225) 358-3939

NPI assigned

Aug 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Emergency Medicine

Education

Baltimore Medical College, 2004

Medicare assignment

May accept Medicare assignment

Group practices

Pensacola Emergency Physicians, LLCGroup PAC ID 3173582624, 41 clinicians

Gulf Coast Mobile Medical Care LLCGroup PAC ID 0446642813, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Emerald Coast Hospice Hospice, Panama City, FL, CCN 101537
• Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
• Baptist Hospital Hospital, Pensacola, FL, CCN 100093

Merit-based Incentive Payment System (MIPS)

Final score

97.8 of 100Reported as group

Quality

93.19

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• Gulf Coast Mobile Medical Care LLC

  • Family Medicine Physician
  • Pensacola Beach, FL
  • NPI 1689330854
  Medicare reassignment Care Compare group NPD
• Pensacola Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Pensacola, FL
  • NPI 1801841473
  Medicare reassignment Care Compare group NPD
• Pensacola Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Gulf Breeze, FL
  • NPI 1427356393
  NPD

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

• Baptist Health Care, Inc

  • General Acute Care Hospital
  • Pensacola, FL
  • NPI 1700979465
  Care Compare affiliation
• Hospice of the Emerald Coast, Inc.

  • Community Based Hospice Care Agency
  • Panama City, FL
  • NPI 1952337149
  Care Compare affiliation
• Vitas Healthcare Corporation of Florida

  • Community Based Hospice Care Agency
  • Boynton Beach, FL
  • NPI 1467507657
  Care Compare affiliation
• Vitas Healthcare Corporation of Florida

  • Community Based Hospice Care Agency
  • Miami Lakes, FL
  • NPI 1528113792
  Care Compare affiliation
• Vitas Healthcare Corporation of Florida

  • Community Based Hospice Care Agency
  • Melbourne, FL
  • NPI 1669548053
  Care Compare affiliation
• Vitas Healthcare Corporation of Florida

  • Community Based Hospice Care Agency
  • Tallahassee, FL
  • NPI 1972555464
  Care Compare affiliation

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1851584346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10437 SPRINGPARK AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708100767",
            "telephone_number": "225-757-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 AIRLINE HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708052408",
            "telephone_number": "225-358-3940",
            "fax_number": "225-358-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRONI",
        "first_name": "CLYDE",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "AS3351311-4178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1075817",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Morris, LCSW, LLC
• Clayton Patrick, M.D.
• Henry Carr Patrick, MD
• Sharon Patrick
• Patriot 1 LLC
• Carol Patrzalek
• Judd E Patten, MD
• Carrie Patterson, LCSW
• Charise Patterson
• Chloe Patterson

• Emergency Medicine Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Emergency Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.