Individual provider Active NPI

Raymond Frederick Elsayed, D.O.

  • Family Medicine Physician
  • Fort Polk, LA
National Provider Identifier
1073671830
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
49022-021 Issued in WI
Practice address
1585 3Rd St
Baynes Jones Army Community Hospital
Fort Polk, LA 71459-5102
Phone
(337) 531-3047
Fax
(337) 531-3551
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 49022-021 WI Primary

Addresses

Primary practice location

1585 3Rd St
Baynes Jones Army Community Hospital
Fort Polk, LA 71459-5102

Mailing address

1585 3Rd St
Baynes Jones Army Community Hospital
Fort Polk, LA 71459-5102
Phone (337) 531-3047

Other names 1

  • Dr. Raymond Frederick Elsayed Professional name

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
I20190514001377 LA Practitioner - Family Practice 9133359961 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawkeye Medical, LLCGroup PAC ID 9032254685, 33 clinicians

Practice addresses (Care Compare)

4231 Hwy 1192
Marksville, LA 71351-4711
Phone (318) 240-6000

Hospital & facility affiliations

  • Avoyelles Hospital Hospital, Marksville, LA, CCN 190099

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49022-021WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hawkeye Medical, LLC CurrentSince Jan 15, 2019 Accepting new patients
CLHG-Avoyelles LLC Family Medicine CurrentSince Aug 7, 2020 Accepting new patients
CLHG-Avoyelles LLC Family Medicine CurrentSince Aug 7, 2020 Accepting new patients
CLHG-Avoyelles LLC Current Accepting new patients

Locations

4239 Highway 1192
Ste 300
Marksville, LA 71351
Phone (318) 253-0677

4231 Highway 1192
Marksville, LA 71351
Phone (318) 240-6000

Interoperability endpoints

  • Direct secure messaging: avhrelsay@yourcarecommunity.org

Organizations & group practices 4

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283212800000",
    "number": "1073671830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 3RD ST",
            "address_2": "BAYNES JONES ARMY COMMUNITY HOSPITAL",
            "city": "FORT POLK",
            "state": "LA",
            "postal_code": "714595102",
            "telephone_number": "337-531-3047",
            "fax_number": "337-531-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 3RD ST",
            "address_2": "BAYNES JONES ARMY COMMUNITY HOSPITAL",
            "city": "FORT POLK",
            "state": "LA",
            "postal_code": "714595102",
            "telephone_number": "337-531-3047",
            "fax_number": "337-531-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSAYED",
        "first_name": "RAYMOND",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2010-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "49022-021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAYMOND",
            "last_name": "ELSAYED",
            "middle_name": "FREDERICK",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fort Polk, LA

Sources for this page

Verify at the official NPI Registry.