Mamdouh Girgis Mickail, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

07043R Issued in LA

Practice address

108 N 16TH St
Mer Rouge, LA 71261-9726

Phone

(318) 239-8010

Fax

(318) 647-3909

NPI assigned

Jan 2, 2007

Last updated

Mar 20, 2025By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Family PracticeAlso: Pediatric Medicine

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Morehouse Community Medical Centers, Inc.Group PAC ID 1254343593, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Premier Hospice, LLC Hospice, Bastrop, LA, CCN 191615
• Morehouse General Hospital Hospital, Bastrop, LA, CCN 190116

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mamdouh.mickail.1@11502.direct.athenahealth.com

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.

• Morehouse Community Medical Centers, Inc.

  dba CommuniHealth Services

  • Family Medicine Physician
  • Bastrop, LA
  • NPI 1053373191
  Medicare reassignment Care Compare group NPD
• Morehouse Community Medical Centers, Inc.

  dba CommuniHealth Services Miller Roy Clinic

  • Federally Qualified Health Center (FQHC)
  • Monroe, LA
  • NPI 1114740438
  NPD
• Correct Care, Inc.

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1215987441
  NPD (past)
• Morehouse Community Medical Centers, Inc

  dba Communihealth Services Behavioral Health Wellness Clinic

  • Federally Qualified Health Center (FQHC)
  • Bastrop, LA
  • NPI 1356898589
  NPD (past)
• Northeast Medical Transit, Inc.

  • Non-emergency Medical Transport (VAN)
  • Monroe, LA
  • NPI 1598919649
  NPD (past)
• Northeast Rural Health Center

  • Clinic/Center
  • Monroe, LA
  • NPI 1821106444
  NPD (past)

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

• Morehouse General Hospital

  • General Acute Care Hospital
  • Bastrop, LA
  • NPI 1003898313
  Care Compare affiliation
• Premier Hospice, LLC

  • Community Based Hospice Care Agency
  • Bastrop, LA
  • NPI 1720011588
  Care Compare affiliation

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1548327372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 792",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712210792",
            "telephone_number": "318-283-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N 16TH ST",
            "city": "MER ROUGE",
            "state": "LA",
            "postal_code": "712619726",
            "telephone_number": "318-239-8010",
            "fax_number": "318-647-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKAIL",
        "first_name": "MAMDOUH",
        "middle_name": "GIRGIS",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "07043R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1358959",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Ryan Hoskins, FNP
• Mer Rouge Community Service Inc
• Mer Rouge Community SVC Inc (The Oakwoods Home for the Elderly)
• Mer Rouge Family Pharmacy, LLC (Perkins Family Pharmacy)
• Mer Rouge Family Pharmacy, LLC
• Morehouse Community Medical Centers, Inc. (CommuniHealth Services Mer Rouge Family Practice and Behavioral Health Center)
• Morehouse Community Medical Centers, Inc. (Mer Rouge CommuniHealth Pharmacy)
• Cathy Hickingbottom Parker, LMFT, LPC
• Margaret B Philley, RPH
• Robert B Robinson Apdc

• Family Medicine Physician in Mer Rouge, LA
• Providers in Mer Rouge, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.