NPIMap

Organization Active NPI

Hni Medical Services at Glenwood, LLC

  • Internal Medicine Physician
  • West Monroe, LA
National Provider Identifier
1669962064
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 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
Last updated
Jan 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Authorized official

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X Primary
Pulmonary Disease Physician 207RP1001X
Neurology Physician 2084N0400X
Physician Assistant 363A00000X
Nurse Practitioner 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

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

Other practice location 2

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

Other practice location 3

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

Other practice location 4

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

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

National Provider Directory

Locations

650 Holt St
Bastrop, LA 71220
Phone (318) 239-4685

1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000

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

4600 Reddix Ln
Monroe, LA 71202
Phone (318) 322-3100

109 McClendon Church Rd
West Monroe, LA 71292
Phone (318) 361-9555

1611 Wellerman Rd
West Monroe, LA 71291
Phone (318) 396-3313

Practitioners & affiliated clinicians

Practitioners 59

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 59

NPI Registry JSON

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

{
    "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": "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": "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": "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": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.