NPIMap

Individual provider Active NPI

Marlon Andre Medford, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Alexandria, LA
National Provider Identifier
1053545152
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
304275 Issued in LA
Practice address
211 4TH St Ste 200
Alexandria, LA 71301-8421
Phone
(318) 451-3977
NPI assigned
May 5, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 304275 LA Primary

Addresses

Primary practice location

211 4TH St Ste 200
Alexandria, LA 71301-8421

Mailing address

211 4TH St Ste 200
Alexandria, LA 71301-8421
Phone (318) 451-3977

Other practice location 1

2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111

Other practice location 2

3330 Masonic Dr
Alexandria, LA 71301-3841
Phone (318) 483-4090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161221001384 LA Practitioner - Emergency MedicinePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 0143501676 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calcasieu Cameron Hospital Medicine Group LLCGroup PAC ID 1557688421, 66 clinicians
Central Louisiana Intensivists LLCGroup PAC ID 6002346566, 12 clinicians

Practice addresses (Care Compare)

211 4TH St
Alexandria, LA 71301-8421
Phone (484) 965-9566

3330 Masonic Dr
Alexandria, LA 71301-3841
Phone (318) 487-1122

701 Cypress St
Sulphur, LA 70663-5053
Phone (337) 527-7034

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Sep 1, 2023 Accepting new patients
Central Louisiana Intensivists LLC Critical Care Medicine CurrentSince Mar 1, 2025 Accepting new patients
Central Louisiana Physicians, LLC Critical Care Medicine CurrentSince Apr 29, 2024 Accepting new patients
Calcasieu Cameron Hospital Medicine Group LLC CurrentSince Mar 3, 2025 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Sep 1, 2023 Accepting new patients
Rapides Healthcare System, L.L.C. Past Accepting new patients

Locations

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

211 4th St
Ste 200
Alexandria, LA 71301
Phone (318) 451-3977

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270

Interoperability endpoints

  • Direct secure messaging: mmedford407590@christushealth.direct-ci.net

Organizations & group practices 6

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 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1053545152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 4TH ST STE 200",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018421",
            "telephone_number": "318-451-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 4TH ST STE 200",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018421",
            "telephone_number": "318-451-3977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Erwin Rd",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277054699",
            "country_code": "US",
            "telephone_number": "919-684-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3330 Masonic Dr",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713013841",
            "country_code": "US",
            "telephone_number": "318-483-4090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDFORD",
        "first_name": "MARLON",
        "middle_name": "ANDRE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-05",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "LA",
            "license": "304275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.