Active NPI
Michael W Dupre', M.D.
- Specialist
- Baton Rouge, LA
National Provider Identifier
1902961071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD.022121
- Practice address
- 8595 Picardy Avenue
Baton Rouge, LA 70809-3670 - Phone
- (225) 819-1186
- Fax
- (225) 819-1139
- NPI assigned
- Dec 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD.022121 | LA | Primary |
Addresses
Primary practice location
8595 Picardy Avenue
Baton Rouge, LA 70809-3670
Mailing address
P.O. Box 85168
Baton Rouge, LA 70816-0000
Phone (225) 819-1186
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1661767 | Medicaid | LA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101011000290 | LA | Practitioner - General Surgery | 6103018064 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Louisiana State University School of Medicine in New Orleans, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Judge Tanner Blvd
Suite 300
Covington, LA 70433-7506
Phone (985) 888-8750
Hospital & facility affiliations
- East Jefferson General Hospital
- Slidell Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.022121 | LA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Jefferson Physicians Group LLC | Current | Accepting new patients | |
| Metairie Physician Services Inc. | Past | Accepting new patients | |
| Lakeview Cardiology Specialists, LLC | Past | Accepting new patients | |
| Hospital Service District No. 2 | Past | Accepting new patients | |
| Stanocola Employees Medical and Hospital Association, Inc | Specialist | Past | Accepting new patients |
Locations
95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800
101 Judge Tanner Blvd
Ste 300
Covington, LA 70433
Phone (985) 888-8750
4228 Houma Blvd
Ste 530
Metairie, LA 70006
Phone (504) 456-8415
4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109
4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028
2050 Gause Blvd E
Ste 250
Slidell, LA 70461
Phone (985) 646-4444
Organizations & group practices 5
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.
-
- Critical Access Hospital
- Breaux Bridge, LA
- NPI 1548263262
-
- Cardiovascular Disease Physician
- Covington, LA
- NPI 1013344027
-
- Internal Medicine Physician
- Metairie, LA
- NPI 1801233648
-
- Specialist
- Baton Rouge, LA
- NPI 1275694804
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1033611454
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331683200000",
"number": "1902961071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 85168",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708160000",
"telephone_number": "225-819-1186",
"fax_number": "225-819-1139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8595 PICARDY AVENUE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708093670",
"telephone_number": "225-819-1186",
"fax_number": "225-819-1139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUPRE'",
"first_name": "MICHAEL",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2012-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "LA",
"license": "MD.022121",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1661767",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.