Individual provider Active NPI

Dodanim Francisco Altamirano, MD

  • Pediatrics Physician
  • Ville Platte, LA
National Provider Identifier
1972598712
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
11525R Issued in LA
Practice address
504 Jack Miller Rd
Suite 3
Ville Platte, LA 70586-5600
Phone
(337) 363-3560
Fax
(337) 363-3507
NPI assigned
Sep 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 11525R LA Primary

Addresses

Primary practice location

504 Jack Miller Rd
Suite 3
Ville Platte, LA 70586-5600

Mailing address

504 Jack Miller Rd
Suite 3
Ville Platte, LA 70586-5600
Phone (337) 363-3560

Other identifiers 1

IdentifierTypeStateIssuer
1671177MedicaidLA

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
I20150318001150 LA Practitioner - Pediatric Medicine 6103057096 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ville Platte Pediatrics PA Pediatrics CurrentSince Jan 10, 2015 Accepting new patients

Locations

504 Jack Miller Rd
Ste 3
Ville Platte, LA 70586
Phone (337) 363-3560

Interoperability endpoints

  • Direct secure messaging: mrmdaltam@yourcarecommunity.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1972598712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 JACK MILLER RD",
            "address_2": "SUITE 3",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705865600",
            "telephone_number": "337-363-3560",
            "fax_number": "337-363-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 JACK MILLER RD",
            "address_2": "SUITE 3",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705865600",
            "telephone_number": "337-363-3560",
            "fax_number": "337-363-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTAMIRANO",
        "first_name": "DODANIM",
        "middle_name": "FRANCISCO",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "11525R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1671177",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ville Platte, LA

Sources for this page

Verify at the official NPI Registry.