NPIMap

Individual provider Active NPI

Tawfik M. Mukhtar-Benghozi

  • Addiction Psychiatry Physician
  • Alexandria, LA
National Provider Identifier
1790774081
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
08698R Issued in LA
Practice address
5920 Coliseum Blvd.
Alexandria, LA 71303-3714
Phone
(318) 443-9339
Fax
(318) 443-9116
NPI assigned
Oct 19, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X 08698R LA Primary

Addresses

Primary practice location

5920 Coliseum Blvd.
Alexandria, LA 71303-3714

Mailing address

6213 Tennyson Oaks LN
Alexandria, LA 71301-2759

Other identifiers 2

IdentifierTypeStateIssuer
1926213MedicaidLA
08698ROtherLALOUISIANA MEDICAL LICENSE

Other names 1

  • Tawfik Benghozi Professional name

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
I20060330000128 LA Practitioner - PsychiatryPractitioner - Addiction Medicine 0648288852 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5920 Coliseum Blvd
Alexandria, LA 71303-3714
Phone (318) 664-3390

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
08698RLAMDAddiction Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Regional Hospital, LLC CurrentSince Oct 1, 2022 Accepting new patients
Tawfik Benghozi a Professional Medical Corporation CurrentSince Jan 31, 2015 Accepting new patients
Edwin Urbi a Medical Limited Liabilty Company Current Accepting new patients
Compass Behavioral Center of Alexandria, LLC Past Accepting new patients
Bayou Healthcare, LLC PastSince Sep 26, 2012 Accepting new patients
Freedom Behavioral Hospital of Leesville LLC Past Accepting new patients
Department of Health and Hospitals Past Accepting new patients
Bayou Healthcare LLC Past Accepting new patients
Natchitoches Parish Hospital Service District Past Accepting new patients
Louisiana Department of Health, Department of Health and Hospitals Past Accepting new patients

Locations

44 Versailles Blvd
Alexandria, LA 71303
Phone (318) 441-0068

5920 Coliseum Blvd
Alexandria, LA 71303
Phone (318) 443-8547

1103 Port Arthur Ter
Leesville, LA 71446
Phone (337) 239-5113

1760 Texas St
Natchitoches, LA 71457
Phone (318) 228-5991

501 Keyser Ave
Natchitoches, LA 71457
Phone (318) 214-4200

1102 N Pine Rd
Olla, LA 71465
Phone (318) 495-5302

Organizations & group practices 10

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.

Hospital & facility affiliations 8

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1790774081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6213 TENNYSON OAKS LN",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713012759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 COLISEUM BLVD.",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033714",
            "telephone_number": "318-443-9339",
            "fax_number": "318-443-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKHTAR-BENGHOZI",
        "first_name": "TAWFIK",
        "middle_name": "M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "LA",
            "license": "08698R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1926213",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA MEDICAL LICENSE",
            "identifier": "08698R",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAWFIK",
            "last_name": "BENGHOZI",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.