Individual provider Active NPI

Andriette Martin Fitch, M.D.

  • Internal Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1932178381
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23650 Issued in LA
Practice address
4336 North Blvd
Suite 103
Baton Rouge, LA 70806-3920
Phone
(225) 383-3187
Fax
(225) 383-3190
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 23650 LA
Internal Medicine Physician 207R00000X 23650 LA Primary

Addresses

Primary practice location

4336 North Blvd
Suite 103
Baton Rouge, LA 70806-3920

Mailing address

4336 North Blvd.
Suite 103
Baton Rouge, LOUISIANA 70806
UM
Phone (225) 383-3187

Other identifiers 1

IdentifierTypeStateIssuer
1484121MedicaidLA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100525000099 LA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 1052440682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Meharry Medical College School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9241 Bluebonnet Blvd
Suite B
Baton Rouge, LA 70810-2971
Phone (225) 383-3187

Hospital & facility affiliations

  • Baton Rouge General Medical Center Hospital, Baton Rouge, LA, CCN 190065
  • Ochsner Medical Center - Baton Rouge Hospital, Baton Rouge, LA, CCN 190202
  • Womans Hospital Hospital, Baton Rouge, LA, CCN 190128

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23650LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Total Family Healthcare, LLC Internal Medicine CurrentSince Jul 6, 2015 Accepting new patients
Westside Family Healthcare, LLC Internal Medicine PastSince Nov 1, 2002 Accepting new patients

Locations

4336 North Blvd
Ste 103
Baton Rouge, LA 70806
Phone (225) 379-3519

9241 Bluebonnet Blvd
Ste B
Baton Rouge, LA 70810
Phone (225) 383-3187

3800 Florida Blvd
Baton Rouge, LA 70806
Phone (225) 810-3325

1707 Gardere Ln
Baton Rouge, LA 70820
Phone (225) 831-9565

Interoperability endpoints

  • Direct secure messaging: afitch@sghc.directbygreenway.com
  • FHIR API: https://api.platform.athenahealth.com/18771/brand/1/csg/1/fhir/r4
  • Direct secure messaging: andriette.fitch.1@18771.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 8

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1932178381",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "4336 NORTH BLVD.",
            "address_2": "SUITE 103",
            "city": "BATON ROUGE",
            "state": "LOUISIANA",
            "postal_code": "70806",
            "telephone_number": "225-383-3187",
            "fax_number": "225-383-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4336 NORTH BLVD",
            "address_2": "SUITE 103",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063920",
            "telephone_number": "225-383-3187",
            "fax_number": "225-383-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITCH",
        "first_name": "ANDRIETTE",
        "middle_name": "MARTIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "23650",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "23650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1484121",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.