Individual provider Active NPI

Muhannad Alqudsi, MD

  • Nephrology Physician
  • Alexandria, LA
National Provider Identifier
1528297850
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
312994 Issued in LA
Practice address
201 4TH St Ste 5a
Alexandria, LA 71301-8421
Phone
(318) 483-1961
Fax
(318) 483-1964
NPI assigned
Jul 8, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 24981 WV
Nephrology Physician 207RN0300X 312994 LA Primary

Addresses

Primary practice location

201 4TH St Ste 5a
Alexandria, LA 71301-8421

Mailing address

301 4TH St Ste 30105
Alexandria, LA 71301-8420
Phone (318) 483-1961

Other identifiers 1

IdentifierTypeStateIssuer
2507711MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address malqudsi58178@direct.acumenmd.com

Organizations & group practices 8

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.

Hospital & facility affiliations 21

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

View all 21

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cenla Kidney Specialists LLC 7 clinicians

Practice addresses (Care Compare)

2220 Worley Dr
Alexandria, LA 71301-3600
Phone 3187040001102

Hospital & facility affiliations

  • Christus St Frances Cabrini Hospital Hospital, Alexandria, LA, CCN 190019
  • Rapides Regional Medical Center Hospital, Alexandria, LA, CCN 190026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, LA2 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

Enrollment IDStateProvider typePAC IDDetails
I20121026000527 WV Practitioner - Internal Medicine 2769632785 Reassigns benefits to 1 organization
I20190824000149 LA Practitioner - Internal MedicinePractitioner - Nephrology 2769632785 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24981WVMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Jul 29, 2019 Accepting new patients
Lafayette Kidney Care LLC Nephrology CurrentSince Dec 15, 2023 Accepting new patients
Cenla Kidney Specialists LLC Nephrology Current Accepting new patients
Apogee Medical Group, West Virginia, PLLC CurrentSince Sep 12, 2012 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Central Louisiana Physicians, LLC Internal Medicine CurrentSince Nov 1, 2024 Accepting new patients
Ochsner Clinic LLC Internal Medicine CurrentSince Jul 29, 2019 Accepting new patients
Rapides Regional Physician Group Specialty Care, LLC Past Accepting new patients

Locations

301 4th St
Ste 30105
Alexandria, LA 71301

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

201 4th St
Ste 5A
Alexandria, LA 71301
Phone (318) 448-1249

2220 Worley Dr
Alexandria, LA 71301
Phone (216) 647-3653

200 Corporate Blvd
Lafayette, LA 70508

118 South Dr
Ste 300
Natchitoches, LA 71457
Phone (318) 483-1961

1514 Jefferson Hwy
New Orleans, LA 70121

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

603 W Court St
Winnfield, LA 71483
Phone (318) 483-1961

20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGIHBD

NPI Registry JSON

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1528297850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 4TH ST STE 30105",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018420",
            "telephone_number": "318-483-1961",
            "fax_number": "318-483-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 4TH ST STE 5A",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018421",
            "telephone_number": "318-483-1961",
            "fax_number": "318-483-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALQUDSI",
        "first_name": "MUHANNAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-08",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WV",
            "license": "24981",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "312994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2507711",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "malqudsi58178@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "201 4th St Ste 5A",
            "city": "Alexandria",
            "state": "LA",
            "country_code": "US",
            "postal_code": "713018421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.