NPIMap

Individual provider Active NPI

Troy Michael Vaughn, M.D.

  • Neurological Surgery Physician
  • Alexandria, LA
National Provider Identifier
1164420915
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD.021645 Issued in LA
Practice address
3704 North Blvd
Suite C
Alexandria, LA 71301-3606
Phone
(318) 443-4576
Fax
(318) 449-5579
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD.021645 LA Primary

Addresses

Primary practice location

3704 North Blvd
Suite C
Alexandria, LA 71301-3606

Mailing address

3704 North Blvd
Suite C
Alexandria, LA 71301-3606
Phone (318) 443-4576

Other identifiers 1

IdentifierTypeStateIssuer
1172138MedicaidLA

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
I20100910000186 LA Practitioner - Neurosurgery 0749290203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Louisiana State University School of Medicine in Shreveport, 1992
Medicare assignment
May accept Medicare assignment
Group practices
Physical Therapy Services of West Louisiana IncGroup PAC ID 0446388763, 92 clinicians
Rapides Regional Physician Group, Specialty Care, LLCGroup PAC ID 3375646466, 41 clinicians

Practice addresses (Care Compare)

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

3704 N Blvd
Suite C
Alexandria, LA 71301-3658
Phone (318) 443-4576

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
81.07 of 100Reported as group
Quality
65.81
Promoting interoperability
99
Improvement activities
40
Cost
68.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion157
Laminectomy or laminotomy (partial removal of spine bones)40
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.021645LAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rapides Regional Physician Group Specialty Care, LLC Specialist CurrentSince Dec 1, 2024 Accepting new patients
Rapides Healthcare System, L.L.C. Past Accepting new patients
Deanz Medical Corporation Past Accepting new patients

Locations

3704 North Blvd
Ste C
Alexandria, LA 71301
Phone (318) 443-4576

651 N Bolton Ave
Alexandria, LA 71301
Phone (318) 443-3511

501 Medical Center Dr
Ste 1A
Alexandria, LA 71301
Phone (318) 442-5800

501 Medical Center Dr
#4A
Alexandria, LA 71301
Phone (318) 442-5800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FGHDAD/Endpoint/FGHDAD

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 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1164420915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 NORTH BLVD",
            "address_2": "SUITE C",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013606",
            "telephone_number": "318-443-4576",
            "fax_number": "318-449-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 NORTH BLVD",
            "address_2": "SUITE C",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013606",
            "telephone_number": "318-443-4576",
            "fax_number": "318-449-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "TROY",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "LA",
            "license": "MD.021645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1172138",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.