NPIMap

Individual provider Active NPI

Mohamed Riad Hajmurad, MD

  • Neurology Physician
  • Alexandria, LA
National Provider Identifier
1093709784
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
06830R Issued in LA
Practice address
1010 Bayou Trace Dr
Alexandria, LA 71303-2500
Phone
(318) 473-8304
Fax
(318) 448-8877
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 06830R LA Primary

Addresses

Primary practice location

1010 Bayou Trace Dr
Alexandria, LA 71303-2500

Mailing address

1010 Bayou Trace Dr
Alexandria, LA 71303-2500
Phone (318) 473-8304

Other identifiers 1

IdentifierTypeStateIssuer
1353515MedicaidLA

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
I20070710000338 LA Practitioner - Neurology 3274633003 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1976
Medicare assignment
May accept Medicare assignment
Group practices
Arshan Naalbandion and Riad HajmuradGroup PAC ID 9830280528, 2 clinicians
Physical Therapy Services of West Louisiana IncGroup PAC ID 0446388763, 92 clinicians
Christus Health Central LouisianaGroup PAC ID 4688570955, 46 clinicians

Practice addresses (Care Compare)

1010 Bayou Trace Dr
Alexandria, LA 71303-2500
Phone 31847383043

301 W Fertitta Blvd
Suite 4
Leesville, LA 71446-4665
Phone (337) 238-9931

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

Hospital & facility affiliations

  • Rapides Regional Medical Center Hospital, Alexandria, LA, CCN 190026
  • Christus St Frances Cabrini Hospital Hospital, Alexandria, LA, CCN 190019
  • Byrd Regional Hospital Hospital, Leesville, LA, CCN 190164
  • Christus Central Louisiana Surgical Hospital Hospital, Alexandria, LA, CCN 190298

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
06830RLAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arshan Naalbandion & Riad Hajmurad Neurology CurrentSince Jan 6, 1986 Accepting new patients
Christus Health Central Louisiana Neurology CurrentSince Aug 16, 2010 Accepting new patients
Christus Health Central Louisiana CurrentSince Aug 16, 2010 Accepting new patients
Bayou Healthcare, LLC Past Accepting new patients

Locations

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

1010 Bayou Trace Dr
Alexandria, LA 71303
Phone (318) 473-8304

Organizations & group practices 5

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 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1093709784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 BAYOU TRACE DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032500",
            "telephone_number": "318-473-8304",
            "fax_number": "318-448-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 BAYOU TRACE DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032500",
            "telephone_number": "318-473-8304",
            "fax_number": "318-448-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAJMURAD",
        "first_name": "MOHAMED",
        "middle_name": "RIAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "06830R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1353515",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.