Active NPI
James Arthur Altick Jr., M.D.
- Dermatology Physician
- Monroe, LA
National Provider Identifier
1922062322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 021299
- Practice address
- 2804 Kilpatrick Blvd
Monroe, LA 71201-5139 - Phone
- (318) 387-2545
- Fax
- (318) 387-2775
- NPI assigned
- Apr 13, 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 021299 | LA | Primary |
Addresses
Primary practice location
2804 Kilpatrick Blvd
Monroe, LA 71201-5139
Mailing address
2804 Kilpatrick Blvd
Monroe, LA 71201-5139
Phone (318) 387-2545
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1657930 | 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 |
|---|---|---|---|---|
| I20111228000333 | LA | Practitioner - Dermatology | 5395911168 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Louisiana State University School of Medicine in Shreveport, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- James a Altick Jr MD a Professional Medical Corporation
Practice addresses (Care Compare)
2804 Kilpatrick Blvd
Monroe, LA 71201-5139
Phone (318) 387-2545
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021299 | LA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James a. Altick ,Jr. M.D. a Professional Medical Corporation | Dermatology | Current | Accepting new patients |
Locations
2804 Kilpatrick Blvd
Monroe, LA 71201
Phone (318) 387-0545
Organizations & group practices 1
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.
-
- Dermatology Physician
- Monroe, LA
- NPI 1639641673
Dermatology, LA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1922062322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2804 KILPATRICK BLVD",
"city": "MONROE",
"state": "LA",
"postal_code": "712015139",
"telephone_number": "318-387-2545",
"fax_number": "318-387-2775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2804 KILPATRICK BLVD",
"city": "MONROE",
"state": "LA",
"postal_code": "712015139",
"telephone_number": "318-387-2545",
"fax_number": "318-387-2775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTICK",
"first_name": "JAMES",
"middle_name": "ARTHUR",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "LA",
"license": "021299",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1657930",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.