NPIMap

Individual provider Active NPI

Praveen Budde, MD

  • Family Medicine Physician
  • Alexandria, LA
National Provider Identifier
1679808638
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.207797 Issued in LA
Practice address
99 Pecanwood Dr
Alexandria, LA 71303-6010
Phone
(313) 461-1663
NPI assigned
Oct 8, 2009
Last updated
Feb 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X DR51457 CO
Family Medicine Physician 207Q00000X MD.207797 LA Primary

Addresses

Primary practice location

99 Pecanwood Dr
Alexandria, LA 71303-6010

Mailing address

99 Pecanwood Dr
Alexandria, LA 71303-6010
Phone (313) 461-1663

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
I20150901001398 LA Practitioner - Family Practice 4284883380 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lsumc-S Family Practice MedicalGroup PAC ID 7719885367, 9 clinicians
Calcasieu Cameron Hospital Medicine Group LLCGroup PAC ID 1557688421, 66 clinicians

Practice addresses (Care Compare)

301 4TH St Medical Terrace a
Lsu Alexandria Family Medical Clinic
Alexandria, LA 71301-8111
Phone (318) 441-1030

701 Cypress St
Sulphur, LA 70663-5053
Phone (337) 527-7034

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR51457COMDSpecialist
MD.207797LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lsu Health Sciences Center Shreveport Faculty Group Practice Family Medicine CurrentSince Dec 1, 2016 Accepting new patients
Cenla Kidney Specialists LLC CurrentSince Oct 5, 2020 Accepting new patients
Kisatchie Emergency Group, LLC CurrentSince Jul 25, 2023 Accepting new patients
Derussy Emergency Group, LLC CurrentSince Jul 25, 2023 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Calcasieu Cameron Hospital Medicine Group LLC CurrentSince Jan 10, 2025 Accepting new patients
Leatherwood Emergency Group, LLC CurrentSince Jul 25, 2023 Accepting new patients
Reanimatemd, LLC Specialist CurrentSince Oct 1, 2022 Accepting new patients
Cogent Healthcare of Texas, PA Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Lsumc-S Family Practice Medical Family Medicine CurrentSince Jul 24, 2015 Accepting new patients
Lexington House LLC Past Accepting new patients
Rapides Healthcare System, L.L.C. Past Accepting new patients
JP Health and Wellness LLC Past Accepting new patients
Central Louisiana Rehab Associates LP Past Accepting new patients
Sterling Regional Medcenter Past Accepting new patients
Lsumc-S Family Practice Medical Center in Alexandria Family Medicine PastSince Jul 24, 2015 Accepting new patients

Locations

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

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

301 4th St
Alexandria, LA 71301
Phone (318) 441-1030

301 4th St
Ste A
Alexandria, LA 71301
Phone (318) 441-1030

501 4th St
Alexandria, LA 71301
Phone (318) 441-1030

821 Elliott St
Alexandria, LA 71301
Phone (318) 441-1030

4200 Nelson Rd
Lake Charles, LA 70605
Phone (318) 474-6370

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

4231 Highway 1192
Marksville, LA 71351
Phone (318) 240-6000

130 Hospital Dr
Oakdale, LA 71463
Phone (318) 215-3084

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

1501 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0434

1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402

701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270

Interoperability endpoints

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

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
Lexington HouseAlexandria, LA, CCN 195424 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 16, 2021
Jun 16, 2021

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 16

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.

View all 16

Hospital & facility affiliations 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1679808638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 PECANWOOD DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713036010",
            "telephone_number": "313-461-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 PECANWOOD DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713036010",
            "telephone_number": "313-461-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDDE",
        "first_name": "PRAVEEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-08",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "DR51457",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.207797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.