NPIMap

Organization Active NPI

Rapides Healthcare System, LLC

Doing business as Rapides Regional Medical Center-Hospital-Based Physicians

  • Pediatric Pulmonology Physician
  • Alexandria, LA
National Provider Identifier
1366618837
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
Legal business name
RAPIDES HEALTHCARE SYSTEM, LLC
Doing business as
Rapides Regional Medical Center-Hospital-Based Physicians
Practice address
211 4TH St
Alexandria, LA 71301-8421
Phone
(318) 769-7640
Fax
(318) 769-4014
NPI assigned
May 5, 2008
Last updated
Apr 10, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
RAPIDES HEALTHCARE SYSTEM, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Authorized official

Name
David Williams
Title
Ceo
Phone
(318) 769-3000

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X NU
Critical Care Neonatal Nurse Practitioner 363LN0005X NU
Clinical Genetics (M.D.) Physician 207SG0201X NU
Orthopaedic Surgery Physician 207X00000X NU
Pediatric Neurodevelopmental Disabilities Physician 2080P0008X NU
Pediatric Critical Care Medicine Physician 2080P0203X NU
Pediatric Pulmonology Physician 2080P0214X NU Primary
Pediatric Sleep Medicine Physician 2080S0012X NU

Addresses

Primary practice location

211 4TH St
Alexandria, LA 71301-8421

Mailing address

211 4TH St
Alexandria, LA 71301-8421
Phone (318) 769-7640

Other identifiers 1

IdentifierTypeStateIssuer
1750107MedicaidLA

Other names 1

  • Rapides Regional Medical Center-Hospital-Based Physicians Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040412001031 LA Part B Supplier - Clinic/Group Practice 0446163158 Receives reassigned benefits from 60 practitioners
3 other NPIs on this enrollment
Practice locations: Alexandria, LA; Pineville, LA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Winn Parish Medical Cen

Practitioners & affiliated clinicians

Practitioners 63

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.

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1366618837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 4TH ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018421",
            "telephone_number": "318-769-7640",
            "fax_number": "318-769-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 4TH ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018421",
            "telephone_number": "318-769-7640",
            "fax_number": "318-769-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPIDES HEALTHCARE SYSTEM, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RAPIDES HEALTHCARE SYSTEM, LLC",
        "enumeration_date": "2008-05-05",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-769-3000"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2080S0012X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750107",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rapides Regional Medical Center-Hospital-Based Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.