NPIMap

Individual provider Active NPI

Bassam Abi-Rached, M.D.

  • Hematology & Oncology Physician
  • Alexandria, LA
National Provider Identifier
1285637314
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
14847R Issued in LA
Practice address
605B Medical Center Dr
Alexandria, LA 71301-8127
Phone
(318) 442-2232
Fax
(318) 442-2192
NPI assigned
May 23, 2005
Last updated
Nov 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 14847R LA Primary

Addresses

Primary practice location

605B Medical Center Dr
Alexandria, LA 71301-8127

Mailing address

605 Medical Center Dr Ste B
Alexandria, LA 71301-8145
Phone (318) 442-2232

Other practice location 1

2108 Texas Ave Ste 3061
Alexandria, LA 71301-3903
Phone (318) 442-2232

Other identifiers 1

IdentifierTypeStateIssuer
1148393MedicaidLA

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
I20040629000091 LA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 6800872979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6800
Phone (318) 681-4138

2108 Texas Ave
Alexandria, LA 71301-3903

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14847RLAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Jan 1, 2022 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jan 1, 2022 Accepting new patients
SLR FPP University Medical Practice Associates Past Accepting new patients
Hematology Oncology Life Center Prescott Past Accepting new patients

Locations

2108 Texas Ave
Ste 3061
Alexandria, LA 71301
Phone (318) 442-2232

2108 Texas Ave
Ste 3080
Alexandria, LA 71301
Phone (318) 442-5758

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1285637314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 MEDICAL CENTER DR STE B",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018145",
            "telephone_number": "318-442-2232",
            "fax_number": "318-442-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605B MEDICAL CENTER DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018127",
            "telephone_number": "318-442-2232",
            "fax_number": "318-442-2192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2108 Texas Ave Ste 3061",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713013903",
            "country_code": "US",
            "telephone_number": "318-442-2232",
            "fax_number": "318-442-9940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABI-RACHED",
        "first_name": "BASSAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "LA",
            "license": "14847R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1148393",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.