Active NPI
Rayland Kevin Beurlot, M.D.
- Physical Medicine & Rehabilitation Physician
- Pineville, LA
National Provider Identifier
1801890751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 20112
- Practice address
- 2495 Shreveport Hwy
Pineville, LA 71360-4044 - Phone
- (184) 730-0103
- Fax
- (318) 445-3510
- NPI assigned
- Jun 9, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 20112 | LA | Primary |
Addresses
Primary practice location
2495 Shreveport Hwy
Pineville, LA 71360-4044
Mailing address
PO Box 12787
Alexandria, LA 71315-2787
Phone (318) 473-9050
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20112 | Other | LA | LA LICENSE |
| 1958778 | Medicaid | LA | |
| 72-1246297 | Other | AL | OCHSNER |
| 260040912 | Other | LA | RAILROAD MEDICARE |
| 5R012BC72 | Other | LA | MEDICARE PTAN |
| K6989 | Other | TX | TX STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20112 | LA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miguel a Garcia-Caro MD LLC | Past | Accepting new patients |
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.
-
- Rheumatology Physician
- Alexandria, LA
- NPI 1326424029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1801890751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12787",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713152787",
"telephone_number": "318-473-9050",
"fax_number": "318-473-0086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2495 SHREVEPORT HWY",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "713604044",
"telephone_number": "184-730-0103",
"fax_number": "318-445-3510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEURLOT",
"first_name": "RAYLAND",
"middle_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "LA",
"license": "20112",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA LICENSE",
"identifier": "20112",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1958778",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCHSNER",
"identifier": "72-1246297",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "260040912",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "5R012BC72",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX STATE LICENSE",
"identifier": "K6989",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pineville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.