NPIMap

Hni Medical Services at Glenwood, LLC

Organization Active NPI Internal Medicine Physician · West Monroe, LA

NPI 1669962064 · NPPES record last updated Jan 15, 2026

Key facts

NPI
1669962064
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
HNI MEDICAL SERVICES AT GLENWOOD, LLC
Practice address
1616 Wellerman Rd
West Monroe, LA 71291-7427
Phone
(512) 730-3056
Fax
(888) 730-1925
NPI assigned
May 11, 2018
Organization subpart
No

Authorized official

Name
Michael Gonzales
Title
Ceo
Phone
(512) 730-3056

Practitioners 59

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 59

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20180801000659 LA Part B Supplier - Clinic/Group Practice 0547518920 Receives reassigned benefits from 55 practitioners
Practice locations: Monroe, LA; West Monroe, LA; Leesville, LA; Bastrop, LA; Columbia, LA; Lake Charles, LA

National Provider Directory

Locations

2299 Old Sterlington Rd
Monroe, LA 71203
Phone (318) 325-9459

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X Yes
Pulmonary Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RP1001X
Neurology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2084N0400X
Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP		 363A00000X
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363L00000X

Addresses

Primary practice location

1616 Wellerman Rd
West Monroe, LA 71291-7427

Mailing address

7500 Rialto Blvd Ste 1-140
Austin, TX 78735-8534
Phone (512) 730-3056

Other practice location 1

1611 Wellerman Rd
West Monroe, LA 71291-7426
Phone (512) 730-3056

Other practice location 2

6198 Cypress St
West Monroe, LA 71291-9013
Phone (512) 730-3056

Other practice location 3

4385 Old Sterlington Rd
Monroe, LA 71203-2360
Phone (512) 730-3056

Other practice location 4

109 McClendon Church Rd
West Monroe, LA 71292-8052
Phone (512) 730-3056

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 15, 2026.

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1669962064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 RIALTO BLVD STE 1-140",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358534",
            "telephone_number": "512-730-3056",
            "fax_number": "888-730-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 WELLERMAN RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712917427",
            "telephone_number": "512-730-3056",
            "fax_number": "888-730-1925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 Wellerman Rd",
            "address_purpose": "LOCATION",
            "city": "West Monroe",
            "state": "LA",
            "postal_code": "712917426",
            "country_code": "US",
            "telephone_number": "512-730-3056",
            "fax_number": "888-730-1925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6198 Cypress St",
            "address_purpose": "LOCATION",
            "city": "West Monroe",
            "state": "LA",
            "postal_code": "712919013",
            "country_code": "US",
            "telephone_number": "512-730-3056",
            "fax_number": "888-730-1925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4385 Old Sterlington Rd",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712032360",
            "country_code": "US",
            "telephone_number": "512-730-3056",
            "fax_number": "888-730-1925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 McClendon Church Rd",
            "address_purpose": "LOCATION",
            "city": "West Monroe",
            "state": "LA",
            "postal_code": "712928052",
            "country_code": "US",
            "telephone_number": "512-730-3056",
            "fax_number": "888-730-1925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HNI MEDICAL SERVICES AT GLENWOOD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-11",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-730-3056"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

All providers in West Monroe, LA · Internal Medicine Physician in Louisiana

Sources for this page

Verify at the official NPI Registry.