Ibrahim Alshahrouri, M.D

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

303115 Issued in LA

Practice address

1800 Ryan St Ste 105
Lake Charles, LA 70601-6078

Phone

(337) 439-4706

Fax

(337) 439-8110

NPI assigned

Jul 8, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Angelina Diagnostic Radiology AssociatesGroup PAC ID 1850380890, 71 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI St Lukes Health Memorial Lufkin Hospital, Lufkin, TX, CCN 450211
• CHI St Lukes Health Memorial Livingston Hospital, Livingston, TX, CCN 450395
• Oakbend Medical Center Hospital, Richmond, TX, CCN 450330
• Memorial Hermann Houston Physicians Hospital Hospital, Webster, TX, CCN 670008
• CHI St Lukes Health Memorial San Augustine Hospital, San Augustine, TX, CCN 670783
• Memorial Med Center of East Te Inpatient rehabilitation facility, Lufkin, TX, CCN 45T211

Merit-based Incentive Payment System (MIPS)

Final score

90.65 of 100Reported as group

Quality

86.33

Improvement activities

40

Cost

87.82

Merit-based Incentive Payment System (MIPS)

Final score

81.08 of 100Reported as group

Quality

62.15

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Angelina Diagnostic Radiology Associates

  • Diagnostic Radiology Physician
  • Lufkin, TX
  • NPI 1033175302
  Medicare reassignment Care Compare group NPD
• Radiology Associates of Southwest Louisiana

  • Diagnostic Radiology Physician
  • Alexandria, LA
  • NPI 1033215710

  TX

  Medicare reassignment
• Louisiana Pet/CT Imaging of Lake Charles. LLC

  • Radiology Clinic/Center
  • Lake Charles, LA
  • NPI 1437172822
  NPD
• Sky Lakes Medical Center Inc

  • General Acute Care Hospital
  • Klamath Falls, OR
  • NPI 1659340370
  NPD (past)

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

• Memorial Health System of East Texas

  • Rural Acute Care Hospital
  • Lufkin, TX
  • NPI 1396746129
  Care Compare affiliation
• Memorial Health System of East Texas

  • Rehabilitation Hospital Unit
  • Lufkin, TX
  • NPI 1457454431

  Inpatient rehabilitation facility

  Care Compare affiliation
• Memorial Hospital of Polk County

  • Rural Acute Care Hospital
  • Livingston, TX
  • NPI 1689650616
  Care Compare affiliation
• Memorial Medical Center San Augustine

  • Rural Acute Care Hospital
  • San Augustine, TX
  • NPI 1578547345
  Care Compare affiliation
• Oakbend Medical Center

  • General Acute Care Hospital
  • Richmond, TX
  • NPI 1700883196
  Care Compare affiliation
• Webster Surgical Specialty Hospital, LLC

  • General Acute Care Hospital
  • Webster, TX
  • NPI 1285699835
  Care Compare affiliation

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1396186367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 RYAN ST STE 105",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706016078",
            "telephone_number": "337-439-4706",
            "fax_number": "337-439-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 RYAN ST STE 105",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706016078",
            "telephone_number": "337-439-4706",
            "fax_number": "337-439-8110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Hurley Plz",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485035902",
            "country_code": "US",
            "telephone_number": "810-262-9080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 E Marshall St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "23298",
            "country_code": "US",
            "telephone_number": "804-828-6831",
            "fax_number": "804-628-1132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALSHAHROURI",
        "first_name": "IBRAHIM",
        "name_prefix": "Mr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-08",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "303115",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101264403",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Allyson Warshaw, LCSW LLC
• Carole G Altier, M.D.
• Always Beezy Transportation LLC
• Amd Healthcare LC, LLC
• Amd Healthcare LC, LLC
• Amd Healthcare LC, LLC

• Diagnostic Radiology Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Diagnostic Radiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.