Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark Lewis Kantrow, MD

Individual provider Internal Medicine Physician · NPI 1093716920

Dr. Mark Lewis Kantrow, MD is a Hospice/Palliative Care in Baton Rouge, Louisiana. Graduated from Louisiana State University School of Medicine in New Orleans in 1991, 35 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
35
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
LA
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7777 Hennessy Blvd Ste 501B
Baton Rouge, LA 70808-4300
Phone: (225) 765-1737
Fax: (225) 765-1842
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 433 Plaza St, Bogalusa, LA 70427-3729 — (985) 730-6700
  • 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 — (337) 470-4765
  • 309 Jackson St, Monroe, LA 71201-7407 — (318) 966-1373

Specialties & licences

Hospice and Palliative Medicine (Internal Medicine) Physician (primary) Taxonomy 207RH0002X · Licence 09411R (LA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 09411R (LA)
Hospitalist Physician Taxonomy 208M00000X · Licence 09411R (LA)

Record details

NPI number1093716920
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 2, 2005
Last updated in NPPESMay 26, 2025
Certification dateMay 26, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPICE/PALLIATIVE CARE
Also practisesHOSPITALIST, INTERNAL MEDICINE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 1991 (35 years in practice)
Group practice Our Lady Of The Lake Physician Group Llc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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