Individual provider Active NPI

Mohammad Awni Zeibo, M.D

  • Neurology Physician
  • Alexandria, LA
National Provider Identifier
1700935640
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD.201505 Issued in LA
Practice address
301 4TH St
Suite F
Alexandria, LA 71301-8423
Phone
(318) 484-3535
Fax
(318) 484-3536
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD.201505 LA Primary

Addresses

Primary practice location

301 4TH St
Suite F
Alexandria, LA 71301-8423

Mailing address

211 4TH St
Box 30125
Alexandria, LA 71301-8421
Phone (318) 484-3535

Other identifiers 1

IdentifierTypeStateIssuer
1093181MedicaidLA

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
I20090218000453 LA Practitioner - NeurologyPractitioner - Sleep Medicine 3678638038 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Sleep Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Health Central LouisianaGroup PAC ID 4688570955, 46 clinicians

Practice addresses (Care Compare)

301 4TH St
Suite F
Alexandria, LA 71301-8411
Phone (318) 484-3535

301 4TH Street Box
30125 Suite F
Alexandria, LA 71301-8423

3330 Masonic Dr
Alexandria, LA 71301-3841
Phone (318) 448-6539

Hospital & facility affiliations

  • Christus St Frances Cabrini Hospital Hospital, Alexandria, LA, CCN 190019
  • Rapides Regional Medical Center Hospital, Alexandria, LA, CCN 190026
  • Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.201505LAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Health Central Louisiana CurrentSince Aug 16, 2010 Accepting new patients
Neurology and Sleep Center Neurology CurrentSince Jan 1, 2010 Accepting new patients
Christus Health Central Louisiana Neurology CurrentSince Aug 16, 2010 Accepting new patients

Locations

211 4th St
#30125
Alexandria, LA 71301

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

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

301 4th St
Ste F
Alexandria, LA 71301
Phone (318) 445-4586

301 4th St
Ste 30125
Alexandria, LA 71301
Phone (318) 484-3535

Organizations & group practices 3

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 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255996800000",
    "number": "1700935640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 4TH ST",
            "address_2": "BOX 30125",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018421",
            "telephone_number": "318-484-3535",
            "fax_number": "318-484-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 4TH ST",
            "address_2": "SUITE F",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018423",
            "telephone_number": "318-484-3535",
            "fax_number": "318-484-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEIBO",
        "first_name": "MOHAMMAD",
        "middle_name": "AWNI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2009-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "MD.201505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093181",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.