NPIMap

Individual provider Active NPI

Michelle R Beurlot, M.D.

  • Family Medicine Physician
  • Alexandria, LA
National Provider Identifier
1235484189
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
322103 Issued in LA
Practice address
1587 N Bolton Ave Ste 1100
Alexandria, LA 71303-4255
Phone
(318) 445-9823
Fax
(318) 445-1509
NPI assigned
Jul 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 322103 LA
Student in an Organized Health Care Education/Training Program 390200000X BP10041034 TX
Family Medicine Physician 207Q00000X 322103 LA Primary

Addresses

Primary practice location

1587 N Bolton Ave Ste 1100
Alexandria, LA 71303-4255

Mailing address

1587 N Bolton Ave Ste 1100
Alexandria, LA 71303-4255
Phone (318) 445-9823

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
I20201021000352 LA Practitioner - Family Practice 6305266909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Cenla Family Medicine Associates, LLCGroup PAC ID 7517010705, 18 clinicians
Physical Therapy Services of West Louisiana IncGroup PAC ID 0446388763, 92 clinicians

Practice addresses (Care Compare)

1587 N Bolton Ave
Suite 1100
Alexandria, LA 71303-4255
Phone (318) 445-9823

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

Hospital & facility affiliations

  • Lagniappe Homecare Alexandria Home health agency, Alexandria, LA, CCN 197458
  • Rapides Regional Medical Center Hospital, Alexandria, LA, CCN 190026
  • Christus Central Louisiana Surgical Hospital Hospital, Alexandria, LA, CCN 190298
  • Christus St Frances Cabrini Hospital Hospital, Alexandria, LA, CCN 190019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
322103LAMDFamily Medicine Physician
BP10041034TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Cenla Family Medicine Associates, LLC Family Medicine CurrentSince Oct 6, 2020 Accepting new patients

Locations

1587 N Bolton Ave
Ste 1100
Alexandria, LA 71303
Phone (318) 445-9823

301 4th St
Ste 30124
Alexandria, LA 71301
Phone (318) 445-9823

Interoperability endpoints

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

Organizations & group practices 2

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 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1235484189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1587 N BOLTON AVE STE 1100",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713034255",
            "telephone_number": "318-445-9823",
            "fax_number": "318-445-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1587 N BOLTON AVE STE 1100",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713034255",
            "telephone_number": "318-445-9823",
            "fax_number": "318-445-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEURLOT",
        "first_name": "MICHELLE",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "LA",
            "license": "322103",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10041034",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "322103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.