NPIMap

Individual provider Active NPI

Paul A Guillory, M.D.

  • Otolaryngology Physician
  • Alexandria, LA
National Provider Identifier
1114918281
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
12887 Issued in LA
Practice address
221 Windermere Blvd
Alexandria, LA 71303-3538
Phone
(318) 443-9773
Fax
(318) 443-9799
NPI assigned
Oct 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 12887 LA Primary

Addresses

Primary practice location

221 Windermere Blvd
Alexandria, LA 71303-3538

Mailing address

221 Windermere Blvd
Alexandria, LA 71303-3538
Phone (318) 443-9773

Other identifiers 2

IdentifierTypeStateIssuer
73552OtherBLUE CROSS
1359602MedicaidLA

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
I20040309000199 LA Practitioner - Otolaryngology 1355243403 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Louisiana State University School of Medicine in New Orleans, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Red River Associates LLCGroup PAC ID 2668527169, 11 clinicians
Red River Sleep Center, IncGroup PAC ID 1850417643, 2 clinicians

Practice addresses (Care Compare)

221 Windermere Blvd
Red River ENT Associates LLC
Alexandria, LA 71303-3538
Phone (318) 443-9773

223 Windermere Blvd
Alexandria, LA 71303-3538
Phone (318) 443-1684

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12887LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Red River Associates LLC CurrentSince Jan 1, 2019 Accepting new patients
Red River Sleep Center, Inc CurrentSince Jul 1, 1997 Accepting new patients
Paul a Guillory MD a Professional Medical Corporation Otolaryngology CurrentSince Sep 17, 2003 Accepting new patients
Fyzical of Alexandria LLC CurrentSince Mar 1, 2020 Accepting new patients
Jackson Parish Therapy Center LLC PastSince Jan 1, 2026 Accepting new patients

Locations

221 Windermere Blvd
Ste A
Alexandria, LA 71303
Phone (318) 545-7878

221 Windermere Blvd
#A
Alexandria, LA 71303
Phone (318) 545-7878

221 Windermere Blvd
Alexandria, LA 71303
Phone (318) 427-3300

223 Windermere Blvd
Alexandria, LA 71303
Phone (318) 443-1684

1049 N Pine Rd
Olla, LA 71465
Phone (318) 495-3175

Interoperability endpoints

  • Direct secure messaging: paul.guillory@rre.eclinicaldirectplus.com

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1114918281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 WINDERMERE BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033538",
            "telephone_number": "318-443-9773",
            "fax_number": "318-443-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 WINDERMERE BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033538",
            "telephone_number": "318-443-9773",
            "fax_number": "318-443-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLORY",
        "first_name": "PAUL",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": "12887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "73552",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1359602",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.