NPIMap

Individual provider Active NPI

Faraz F Alwani, M.D.

  • Family Medicine Physician
  • Shreveport, LA
National Provider Identifier
1104352921
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
338781 Issued in LA
Practice address
8650 Millicent Way
Shreveport, LA 71115-2228
Phone
(186) 428-1003
NPI assigned
May 11, 2017
Last updated
Oct 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 85924 GA
Family Medicine Physician 207Q00000X 338781 LA Primary
Physical Medicine & Rehabilitation Physician 208100000X 338781 LA

Addresses

Primary practice location

8650 Millicent Way
Shreveport, LA 71115-2228

Mailing address

PO Box 1684
Shreveport, LA 71165-1684
Phone (845) 363-4558

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
I20231109002862 LA Practitioner - Family PracticePractitioner - Other (Physician) 1052686268 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primecare Direct LLCGroup PAC ID 4082121041, 2 clinicians

Practice addresses (Care Compare)

8650 Millicent Way
Shreveport, LA 71115-2228
Phone (318) 642-8100

955 Pierremont Rd
Suite 400
Shreveport, LA 71106-2096
Phone (315) 562-3868

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
85924GAMDFamily Medicine Physician
338781LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
H&F Medical L.L.C. Family Medicine CurrentSince Sep 14, 2023 Accepting new patients
Primecare Direct LLC CurrentSince Jun 1, 2025 Accepting new patients
Encompass Health Rehabilitation Hospital of Shreveport, LLC Past Accepting new patients

Locations

1451 Fern Cir
Shreveport, LA 71105
Phone (318) 232-8880

955 Pierremont Rd
Ste 400
Shreveport, LA 71106
Phone (315) 562-3868

200 N Bryant Ave
Ste 10
Edmond, OK 73034

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1104352921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1684",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711651684",
            "telephone_number": "845-363-4558",
            "fax_number": "866-276-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8650 MILLICENT WAY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152228",
            "telephone_number": "186-428-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALWANI",
        "first_name": "FARAZ",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "85924",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "338781",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "LA",
            "license": "338781",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.