Organization Active NPI

Mahmoud Sheikh-Khalil MD Apmc

  • Cardiovascular Disease Physician
  • Bastrop, LA
National Provider Identifier
1053506592
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
12276R Issued in LA
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

Updated by the provider on Mar 13, 2012

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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1534978MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070926000318 LA Part B Supplier - Clinic/Group Practice 4688768369 Receives reassigned benefits from 2 practitioners
Practice locations: Bastrop, LA; West Monroe, LA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.