Adam Saad Mossallati, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

301711 Issued in LA

Practice address

1111 Line Ave
Shreveport, LA 71101-3841

Phone

(318) 716-4770

Fax

(318) 716-4791

NPI assigned

Apr 22, 2012

Last updated

Jun 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in LA, FL2 enrollments

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 2

Specialty

Physical Medicine and RehabilitationAlso: Internal Medicine

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minden Physician Practices LLCGroup PAC ID 4789720004, 48 clinicians

WK North Hospitalists GroupGroup PAC ID 4486973872, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111
• Minden Medical Center Hospital, Minden, LA, CCN 190144
• Sabine Medical Center Hospital, Many, LA, CCN 190218
• Cornerstone Post Acute Care of Bossier Long-term care hospital, Bossier City, LA, CCN 192006

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adam.mossallati.1@3681.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/IABFCD

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.

• Minden Physician Practices LLC

  • Multi-Specialty Clinic/Center
  • Minden, LA
  • NPI 1497986764
  Medicare reassignment Care Compare group NPD
• WK North Hospitalists Group

  • Hospitalist Physician
  • Shreveport, LA
  • NPI 1437545282
  Medicare reassignment Care Compare group NPD
• Bankai Physicians LLC

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1982145157
  Medicare reassignment Authorized official
• Emd Telehealth Solutions LLC

  dba Emd

  • Adult Medicine Physician
  • Bossier City, LA
  • NPI 1639771124
  Medicare reassignment NPD
• Northern Louisiana Emergency Physicians LLP

  dba Northern Louisiana Physicians LLP

  • Hospitalist Physician
  • Ruston, LA
  • NPI 1598995847
  Medicare reassignment NPD
• Hospital Medicine Services of FL, LLC

  • Hospitalist Physician
  • Aventura, FL
  • NPI 1710684857
  Medicare reassignment NPD
• Emd Primary Care LLC

  • Family Medicine Physician
  • Bossier City, LA
  • NPI 1205706488
  Medicare reassignment
• WK Bossier Hospitalists

  • Hospitalist Physician
  • Bossier City, LA
  • NPI 1487815866
  Medicare reassignment
• Minden Physician Practices LLC

  dba Minden Medical Clinic of Haughton

  • Rural Health Clinic/Center
  • Haughton, LA
  • NPI 1699392589
  NPD
• Minden Physician Practices LLC

  dba The Women's Clinic

  • Rural Health Clinic/Center
  • Minden, LA
  • NPI 1720360795
  NPD
• Northern Louisiana Emergency Physicians LLP

  dba Northern Louisiana Physicians LLP

  • Emergency Medicine Physician
  • Winnfield, LA
  • NPI 1497085690
  NPD
• Abaka LLC

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1477106524
  NPD (past)

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

• Allegiance Hospital of Many, LLC

  • Psychiatric Hospital Unit
  • Zwolle, LA
  • NPI 1497219257
  Care Compare affiliation
• Allegiance Hospital of Many, LLC

  dba Sabine Medical Center

  • General Acute Care Hospital
  • Many, LA
  • NPI 1568626273
  Care Compare affiliation
• CLHG - Minden, LLC

  dba Minden Medical Center

  • Rural Acute Care Hospital
  • Minden, LA
  • NPI 1891873337
  Care Compare affiliation
• Cornerstone Post Acute Care of Bossier LLC

  dba Cornerstone Post Acute Care of Bossier

  • Long Term Care Hospital
  • Bossier City, LA
  • NPI 1982418646

  Long-term care hospital

  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  dba WK Bossier Health Center

  • General Acute Care Hospital
  • Bossier City, LA
  • NPI 1003968579
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  dba Willis Knighton South Hospital

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1124170691
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  dba WK Pierremont Health Center

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1275685539
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1568461572
  Care Compare affiliation

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

{
    "created_epoch": "1335052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1447517974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1684",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711651684",
            "telephone_number": "318-424-6004",
            "fax_number": "858-230-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013841",
            "telephone_number": "318-716-4770",
            "fax_number": "318-716-4791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 Viking Dr",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711112103",
            "country_code": "US",
            "telephone_number": "318-841-2525",
            "fax_number": "318-425-8438",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Irving Pl",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711014608",
            "country_code": "US",
            "telephone_number": "318-425-4096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSSALLATI",
        "first_name": "ADAM",
        "middle_name": "SAAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-22",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "301711",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "LA",
            "license": "301711",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "LA",
            "license": "301711",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Lundy Moss, M.D.
• Jared L Moss, MD
• Laterica Moss
• Matthew Moss, MD
• Taylor Moss
• Deanna Elise Mossallati, D.O
• Jacquilla Stephens Moton
• Mott Imaging LLC (Dr Chris A Mott DDS)
• Chris Anthony Mott, DDS
• Reid Mottet

• Internal Medicine Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.