Active NPI
Mohammad Mustafa Saidan, M.D
- Internal Medicine Physician
- Leesville, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD.204095
- Practice address
- 1020 Fertitta Blvd
Byrd Regional Hospital,
Leesville, LA 71446 - Phone
- (337) 239-5119
- NPI assigned
- Aug 27, 2010
- Last updated
- Aug 27, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD.204095 | LA | Primary |
Addresses
Primary practice location
1020 Fertitta Blvd
Byrd Regional Hospital,
Leesville, LA 71446
Mailing address
1020 Fertitta Blvd
Byrd Regional Hospital,
Leesville, LA 71446
Phone (337) 239-5119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CLHG-Oakdale LLC | Current | Accepting new patients | |
| Concord Medical Group PLLC | Current | Accepting new patients | |
| Ambassador Physician Services LLC | Current | Accepting new patients | |
| CLHG-Oakdale LLC | Current | Accepting new patients | |
| Central Louisiana Physicians, LLC | Internal Medicine | Current | Accepting new patients |
| Opelousas Physician Services LLC | Current | Accepting new patients | |
| Coolidge Physician Services LLC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| Concord Medical Group of Texas PLLC | Current | Accepting new patients | |
| Cogent Healthcare of Texas, PA | Internal Medicine | Current | Accepting new patients |
Locations
3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917
600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100
1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191
4600 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 371-3135
4200 Nelson Rd
Lake Charles, LA 70605
Phone (318) 474-6370
130 Hospital Dr
Oakdale, LA 71463
Phone (318) 215-3084
400 E 6th Ave
Oakdale, LA 71463
Phone (318) 335-3501
539 E Prudhomme St
Opelousas, LA 70570
Phone (337) 943-7128
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138
Interoperability endpoints
- asmmsaidan@yourcarecommunity.org
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Vernon Home Health | Home health agency | 5% Or Greater Direct Ownership Interest (7%) | Jan 1, 2013 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Vernon Home Health
- Home Health Agency
- Leesville, LA
- NPI 1902005077
5% Or Greater Direct Ownership Interest
Organizations & group practices 10
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.
-
- Hospitalist Physician
- Lafayette, LA
- NPI 1134237068
-
- Internal Medicine Physician
- Alexandria, LA
- NPI 1417738675
-
- Hospitalist Physician
- Lafayette, LA
- NPI 1609298843
-
- Hospitalist Physician
- Opelousas, LA
- NPI 1437492717
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
LA
-
dba Family Medicine Associates of Oakdale
- Rural Health Clinic/Center
- Oakdale, LA
- NPI 1356932859
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282867200000",
"number": "1336455377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 FERTITTA BLVD",
"address_2": "BYRD REGIONAL HOSPITAL,",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "71446",
"telephone_number": "337-239-5119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 FERTITTA BLVD",
"address_2": "BYRD REGIONAL HOSPITAL,",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "71446",
"telephone_number": "337-239-5119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAIDAN",
"first_name": "MOHAMMAD",
"middle_name": "MUSTAFA",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-27",
"last_updated": "2010-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "MD.204095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.