Active NPI
Mahmoud Sheikh-Khalil MD Apmc
- Cardiovascular Disease Physician
- Bastrop, LA
National Provider Identifier
1053506592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 12276R
- Legal business name
- MAHMOUD SHEIKH-KHALIL MD APMC
- Practice address
- 501 Durham St
Bastrop, LA 71220-5012 - Phone
- (318) 281-2008
- Fax
- (318) 281-2038
- NPI assigned
- Sep 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mahmoud Sheikh Khalil, MD
- Title
- Owner
- Phone
- (318) 281-2008
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 12276R | LA | Primary |
Addresses
Primary practice location
501 Durham St
Bastrop, LA 71220-5012
Mailing address
PO Box 4199
Monroe, LA 71211-4199
Phone (318) 281-2008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1534978 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3424 Medical Park Dr
Ste 6
Monroe, LA 71203
102 Thomas Rd
West Monroe, LA 71291
Phone (318) 322-1161
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acute Care Nurse Practitioner
- Bastrop, LA
- NPI 1386007672
-
- Cardiovascular Disease Physician
- Bastrop, LA
- NPI 1801835897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331596800000",
"number": "1053506592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4199",
"city": "MONROE",
"state": "LA",
"postal_code": "712114199",
"telephone_number": "318-281-2008",
"fax_number": "318-281-2038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 DURHAM ST",
"city": "BASTROP",
"state": "LA",
"postal_code": "712205012",
"telephone_number": "318-281-2008",
"fax_number": "318-281-2038"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAHMOUD SHEIKH-KHALIL MD APMC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-07",
"last_updated": "2012-03-13",
"status": "A",
"authorized_official_last_name": "KHALIL",
"authorized_official_first_name": "MAHMOUD",
"authorized_official_middle_name": "SHEIKH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "318-281-2008",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "LA",
"license": "12276R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1534978",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bastrop, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.