Karen M'Liss Pendleton, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

017966 Issued in LA

Practice address

6030 Line Ave
Suite 210
Shreveport, LA 71106-2062

Phone

(318) 550-0050

Fax

(318) 550-0053

NPI assigned

Oct 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Merit-based Incentive Payment System (MIPS)

Final score

94.15 of 100Reported as group

Quality

88.3

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Bopp Dermatology and Facial Plastic Surgery

  • Dermatology Physician
  • Metairie, LA
  • NPI 1831244375
  Medicare reassignment NPD
• Pair O' Docs Bio-Rejuvenis

  • Public Health & General Preventive Medicine Physician
  • Shreveport, LA
  • NPI 1285957811
  NPD (past) Authorized official
• Bopp Dermatology and Facial Plastic Surgery

  • Specialist
  • Metairie, LA
  • NPI 1699148882
  NPD
• Powell Medical Center Minististries Inc

  • Point of Service
  • Shreveport, LA
  • NPI 1437216710
  NPD (past)

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1871781666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 LINE AVE",
            "address_2": "SUITE 210",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711062062",
            "telephone_number": "318-550-0050",
            "fax_number": "318-550-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6030 LINE AVE",
            "address_2": "SUITE 210",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711062062",
            "telephone_number": "318-550-0050",
            "fax_number": "318-550-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDLETON",
        "first_name": "KAREN",
        "middle_name": "M'LISS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "017966",
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "LA",
            "license": "017966",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1970701",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Omar Alejandro Pena Ruiz, DDS
• Faith Pena
• Lea Bonifacio Penales, MD
• Emily Barnett Pendarvis, MD
• Merrie G Pendergrass, SLP
• Rodney La'Ree Pendleton, D.D.S.
• Glenis Joyce Penn
• Lisa Harrison Penn, CAC
• Robert L Penn, M.D.
• Pennington Facial Plastics, LLC

• Ophthalmology Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Ophthalmology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.