NPIMap

Individual provider Active NPI

Rashad Jamar Sullivan, MD

  • Orthopaedic Surgery Physician
  • Alexandria, LA
National Provider Identifier
1174962856
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
344801 Issued in LA
Practice address
3444 Masonic Drive
Alexandria, LA 71301
Phone
(318) 473-9556
Fax
(318) 441-8339
NPI assigned
Jun 17, 2013
Last updated
Sep 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Orthopaedic Surgery Physician 207X00000X ME145051 FL
Orthopaedic Surgery Physician 207X00000X 344801 LA Primary

Addresses

Primary practice location

3444 Masonic Drive
Alexandria, LA 71301

Mailing address

3444 Masonic Drive
Alexandria, LA 71301
Phone (318) 473-9556

Other identifiers 1

IdentifierTypeStateIssuer
2685236MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SD, LA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200630002616 FL Practitioner - Orthopedic Surgery 0042511974 Reassigns benefits to 1 organization
I20240820002161 SD Practitioner - Orthopedic Surgery 0042511974 Reassigns benefits to 1 organization
I20250116001353 LA Practitioner - Orthopedic Surgery 0042511974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid State Orthopaedic and Sports Medicine Center LLCGroup PAC ID 6204892540, 27 clinicians

Practice addresses (Care Compare)

3444 Masonic Dr
Alexandria, LA 71301-3615
Phone 31844183291329

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid State Orthopaedic & Sports Medicine Center, LLC Orthopaedic Surgery CurrentSince Dec 11, 2024 Accepting new patients
Avera St. Luke's Orthopaedic Surgery CurrentSince May 24, 2024 Accepting new patients
Tampa General Hospital Current Accepting new patients
Avera St. Luke's Current Accepting new patients
MCR Health, Inc. CurrentSince Jan 18, 2022 Accepting new patients
Avera St. Lukes CurrentSince May 24, 2024 Accepting new patients
Mid State Orthopaedic & Sports Medicine Center LLC Orthopaedic Surgery CurrentSince Dec 11, 2024 Accepting new patients
MCR Health, Inc. CurrentSince Jan 18, 2022 Accepting new patients

Locations

300 Riverside Dr E
Ste 2010
Bradenton, FL 34208
Phone (941) 405-1170

700 8th Ave W
Ste 101
Palmetto, FL 34221
Phone (941) 776-4008

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

3351 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6800

3444 Masonic Dr
Alexandria, LA 71301
Phone (318) 441-8329

429 Rocky Bayou Dr
Ste A
Pineville, LA 71360
Phone (318) 473-9556

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: rsullivan173850@direct.tgh.org

Organizations & group practices 8

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 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1174962856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3444 MASONIC DRIVE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "71301",
            "telephone_number": "318-473-9556",
            "fax_number": "318-441-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3444 MASONIC DRIVE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "71301",
            "telephone_number": "318-473-9556",
            "fax_number": "318-441-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "RASHAD",
        "middle_name": "JAMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-17",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME145051",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "344801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2685236",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.