Individual provider Active NPI

Nabil A Moufarrej, M.D.

  • Neurology Physician
  • Shreveport, LA
National Provider Identifier
1689674590
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
05722R Issued in LA
Practice address
2205 E 70TH St
Shreveport, LA 71105-5308
Phone
(318) 797-1585
Fax
(318) 797-6077
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 05722R LA
Neurology Physician 2084N0400X 05722R LA Primary

Addresses

Primary practice location

2205 E 70TH St
Shreveport, LA 71105-5308

Mailing address

2205 E 70TH St
Shreveport, LA 71105-5308
Phone (318) 797-1585

Other identifiers 1

IdentifierTypeStateIssuer
1325953MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100806000478 LA Practitioner - NeurologyPractitioner - Sleep Medicine 5991835274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Sleep Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurology and Sleep Clinic a Professional Medical CorpGroup PAC ID 8628108909, 2 clinicians

Practice addresses (Care Compare)

2205 E 70TH St
Shreveport, LA 71105-5321
Phone (318) 797-1585

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05722RLAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology & Sleep Clinic a Professional Medical Corp CurrentSince Jun 2, 1983 Accepting new patients

Locations

2205 E 70th St
Shreveport, LA 71105
Phone (318) 797-1585

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1689674590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 E 70TH ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055308",
            "telephone_number": "318-797-1585",
            "fax_number": "318-797-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 E 70TH ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055308",
            "telephone_number": "318-797-1585",
            "fax_number": "318-797-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUFARREJ",
        "first_name": "NABIL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "LA",
            "license": "05722R",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "05722R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1325953",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.