Individual provider Active NPI

Samer Bakhos, M.D.

  • Family Medicine Physician
  • Lockport, LA
National Provider Identifier
1194997338
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
204682 Issued in LA
Practice address
7534 Highway 1
Lockport, LA 70374-3437
Phone
(800) 979-9595
Fax
(248) 662-9845
NPI assigned
Mar 27, 2008
Last updated
Jun 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 204682 LA Primary
Hospitalist Physician 208M00000X 204682 LA

Addresses

Primary practice location

7534 Highway 1
Lockport, LA 70374-3437

Mailing address

21333 Haggerty Rd.
Suite 150
Novi, MI 48375-5514
Phone (800) 979-9595

Other identifiers 1

IdentifierTypeStateIssuer
1073075MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110831000606 LA Practitioner - Family PracticePractitioner - Internal Medicine 2264602101 Reassigns benefits to 4 organizations
Practice locations: Gretna, LA; Metairie, LA; Marrero, LA; Lockport, LA; Kenner, LA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6300 Main St
Zachary, LA 70791-4037
Phone (225) 658-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
204682LAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Juban Point Urgent Care LLC CurrentSince Oct 8, 2016 Accepting new patients
Regional Medical Partners PA CurrentSince Nov 11, 2019 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Sep 1, 2025 Accepting new patients
Jefferson Davis Physician Services, LLC Hospitalist CurrentSince Feb 28, 2019 Accepting new patients
Hospital Medicine Group Inc Family Medicine Past Accepting new patients
Arkansas Elder Outreach of Little Rock, Inc. Past Accepting new patients

Locations

3400 Highway 78 E
Jasper, AL 35501
Phone (205) 387-4000

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

25905 Juban Rd
Denham Springs, LA 70726
Phone (225) 243-5169

3201 Wall Blvd
Gretna, LA 70056
Phone (504) 207-4905

1634 Elton Rd
Jennings, LA 70546
Phone (337) 616-7000

716 Village Rd
Kenner, LA 70065
Phone (504) 464-0604

7534 Highway 1
Lockport, LA 70374
Phone (985) 532-1011

7534 Highway 1
#L
Lockport, LA 70374
Phone (985) 532-1011

1050 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-0777

4312 Ithaca St
Metairie, LA 70006
Phone (504) 887-6414

6401 Riverside Dr
Metairie, LA 70003
Phone (504) 885-8611

6300 Main St
Zachary, LA 70791
Phone (225) 570-2618

21333 Haggerty Rd
Ste 150
Novi, MI 48375
Phone (248) 662-0250

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

Interoperability endpoints

  • Direct secure messaging: sbakhos68319@direct.casso.us.com

Organizations & group practices 6

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 7

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": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1194997338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21333 HAGGERTY RD.",
            "address_2": "SUITE 150",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755514",
            "telephone_number": "800-979-9595",
            "fax_number": "248-662-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7534 HIGHWAY 1",
            "city": "LOCKPORT",
            "state": "LA",
            "postal_code": "703743437",
            "telephone_number": "800-979-9595",
            "fax_number": "248-662-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKHOS",
        "first_name": "SAMER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-27",
        "last_updated": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "204682",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "LA",
            "license": "204682",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073075",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, LA

Sources for this page

Verify at the official NPI Registry.