Organization Active NPI

Alexander Timeless Group LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Bossier City, LA
National Provider Identifier
1366268906
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
Legal business name
ALEXANDER TIMELESS GROUP LLC
Practice address
4900 Medical Dr
Bossier City, LA 71112-4521
Phone
(318) 773-0657
Fax
(318) 688-1559
NPI assigned
Nov 27, 2024
Last updated
Jun 5, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ALEXANDER TIMELESS GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Authorized official

Name
Ajit M Alexander, MDNPI 1861888760
Title
Physician
Phone
(318) 773-0657

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X Primary

Addresses

Primary practice location

4900 Medical Dr
Bossier City, LA 71112-4521

Mailing address

PO Box 19284
Shreveport, LA 71149-0284
Phone (318) 773-0657

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250806004608 LA Part B Supplier - Clinic/Group Practice 6305344615 Receives reassigned benefits from 1 practitioner
Practice locations: Bossier City, LA

National Provider Directory

National Provider Directory
Part of
Alexander Timeless Group LLC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1366268906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19284",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711490284",
            "telephone_number": "318-773-0657",
            "fax_number": "318-688-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 MEDICAL DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711124521",
            "telephone_number": "318-773-0657",
            "fax_number": "318-688-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER TIMELESS GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALEXANDER TIMELESS GROUP LLC",
        "enumeration_date": "2024-11-27",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "AJIT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "318-773-0657",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.