Individual provider Active NPI

Neil L Halim, M.D.

  • Family Medicine Physician
  • Shreveport, LA
National Provider Identifier
1689623548
Registry record updated Aug 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD022628 Issued in LA
Practice address
1860 Fairfield Ave
Shreveport, LA 71101-4431
Phone
(318) 675-1313
Fax
(318) 675-1319
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD022628 LA Primary

Addresses

Primary practice location

1860 Fairfield Ave
Shreveport, LA 71101-4431

Mailing address

1860 Fairfield Ave
Shreveport, LA 71101-4431
Phone (318) 675-1313

Other identifiers 1

IdentifierTypeStateIssuer
1681831MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050728000865 LA Practitioner - Family Practice 0941238281 Reassigns benefits to 1 organization
I20120306000355 CA Practitioner - Family Practice 0941238281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1030 La Bonita Dr
Suite 316
San Marcos, CA 92078-5291
Phone (760) 744-9626

Hospital & facility affiliations

  • Archer Health Inc Home health agency, Carlsbad, CA, CCN 053124
  • Mission Home Health of North County San Diego Home health agency, San Marcos, CA, CCN 059474
  • Sea Coast Home Health Care Inc Home health agency, San Diego, CA, CCN 559055

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD022628LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neil Halim Fairfield Family Clinic Current Accepting new patients
Neil L. Halim, MD Inc. Family Medicine CurrentSince Jan 1, 2012 Accepting new patients
Neil Halim Fairfield Family Clinic Family Medicine CurrentSince Jul 1, 2005 Accepting new patients
Internal Medical Associates of Doctors Hospital Past Accepting new patients
Lifecare Hospitals LLC Past Accepting new patients
Lightbridge Hospice, LLC Family Medicine Past Accepting new patients
Christus Health Northern Louisiana Past Accepting new patients
Osteoarthritis Centers of America-Carlsbad, Inc. PastSince Jan 26, 2013 Accepting new patients
Mid-City Family Clinic, LLC Past Accepting new patients

Locations

1030 La Bonita Dr
Ste 316
San Marcos, CA 92078
Phone (760) 744-9626

1860 Fairfield Ave
Shreveport, LA 71101
Phone (318) 229-7514

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314489600000",
    "number": "1689623548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 FAIRFIELD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014431",
            "telephone_number": "318-675-1313",
            "fax_number": "318-675-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 FAIRFIELD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014431",
            "telephone_number": "318-675-1313",
            "fax_number": "318-675-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALIM",
        "first_name": "NEIL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2011-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD022628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1681831",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.