NPIMap

Individual provider Active NPI

Reymond Meadaa, M.D.

  • Specialist
  • Alexandria, LA
National Provider Identifier
1669441283
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
11635R Issued in LA
Practice address
2108 Texas Ave Ste 2061
Alexandria, LA 71301-3944
Phone
(318) 448-1041
Fax
(318) 448-0895
NPI assigned
Mar 16, 2006
Last updated
Feb 24, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 11635R LA Primary

Addresses

Primary practice location

2108 Texas Ave Ste 2061
Alexandria, LA 71301-3944

Mailing address

2108 Texas Ave Ste 2061
Alexandria, LA 71301-3944
Phone (318) 448-1041

Other identifiers 1

IdentifierTypeStateIssuer
1684937MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050901000595 LA Practitioner - Cardiovascular Disease (Cardiology) 2769413905 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cenla Heart Specialists LLCGroup PAC ID 7517903958, 4 clinicians

Practice addresses (Care Compare)

2108 Texas Ave
Suite 2061
Alexandria, LA 71301-3944
Phone (318) 448-1041

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting24
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11635RLAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Cenla Heart Specialists LLC CurrentSince Jan 4, 2016 Accepting new patients
Christus Health Central Louisiana Internal Medicine CurrentSince Oct 27, 2021 Accepting new patients
Christus Health Central Louisiana CurrentSince Oct 27, 2021 Accepting new patients
Byrd Medical Clinic Inc Internal Medicine CurrentSince Jun 26, 2020 Accepting new patients
Youngs Professional Services LLC PastSince Sep 18, 2017 Accepting new patients

Locations

2108 Texas Ave
Ste 2061
Alexandria, LA 71301
Phone (318) 448-1041

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

1020 W Fertitta Blvd
Leesville, LA 71446
Phone (337) 239-5278

1106 Port Arthur Ter
Ste A
Leesville, LA 71446
Phone (337) 392-1871

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Vernon Home HealthLeesville, LA, CCN 197413 Home health agency 5% Or Greater Direct Ownership Interest (11.5%)
Operational/Managerial Control (12%)
Other (11.5%)		 Oct 1, 2007
Oct 1, 2007
Jul 16, 2014

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1669441283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 TEXAS AVE STE 2061",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013944",
            "telephone_number": "318-448-1041",
            "fax_number": "318-448-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 TEXAS AVE STE 2061",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013944",
            "telephone_number": "318-448-1041",
            "fax_number": "318-448-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADAA",
        "first_name": "REYMOND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "11635R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1684937",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.