Active NPI
Ihianle Osagie
- Family Medicine Physician
- Monroe, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 331863
- Practice address
- 4864 Jackson St
Monroe, LA 71202-6400 - Phone
- (318) 330-7615
- NPI assigned
- Jul 12, 2019
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 331863 | LA | Primary |
Addresses
Primary practice location
4864 Jackson St
Monroe, LA 71202-6400
Mailing address
4864 Jackson St
Monroe, LA 71202-6400
Phone (318) 330-7615
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1453 E Bert Kouns Industrial Loop
Christus Highland Medical Center
Shreveport, LA 71105-5634
Phone (318) 681-4500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 331863 | LA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Health Northern Louisiana | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Bossier City, LA
- NPI 1407637671
-
dba Christus Shreveport-Bossier Health System
- General Acute Care Hospital
- Shreveport, LA
- NPI 1417950106
Hospital & facility affiliations 25
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Pollock SBHC
- Student Health Clinic/Center
- Pollock, LA
- NPI 1013037431
Hospital
-
dba Lessie Moore SBHC
- Student Health Clinic/Center
- Pineville, LA
- NPI 1023139458
Hospital
-
dba Tioga High SBHC
- Student Health Clinic/Center
- Pineville, LA
- NPI 1093836421
Hospital
-
dba Provencal SBHC
- Student Health Clinic/Center
- Provencal, LA
- NPI 1164687307
Hospital
-
dba Avoyelles Charter SBHC
- Student Health Clinic/Center
- Mansura, LA
- NPI 1225157050
Hospital
-
dba Buckeye SBHC
- Student Health Clinic/Center
- Deville, LA
- NPI 1285755611
Hospital
-
dba Natchitoches Central SBHC
- Student Health Clinic/Center
- Natchitoches, LA
- NPI 1356462782
Hospital
-
dba Glenmora SBHC
- Student Health Clinic/Center
- Glenmora, LA
- NPI 1376664706
Hospital
-
dba Jena Junior High SBHC
- Student Health Clinic/Center
- Jena, LA
- NPI 1467573899
Hospital
-
dba Jena High SBHC
- Student Health Clinic/Center
- Jena, LA
- NPI 1558482984
Hospital
-
dba Marthaville SBHC
- Student Health Clinic/Center
- Marthaville, LA
- NPI 1609031962
Hospital
-
dba CHRISTUS St. Frances Cabrini Hospital
- General Acute Care Hospital
- Alexandria, LA
- NPI 1639160799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708560000000",
"number": "1861044554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4864 JACKSON ST",
"city": "MONROE",
"state": "LA",
"postal_code": "712026400",
"telephone_number": "318-330-7615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4864 JACKSON ST",
"city": "MONROE",
"state": "LA",
"postal_code": "712026400",
"telephone_number": "318-330-7615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSAGIE",
"first_name": "IHIANLE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-12",
"last_updated": "2024-02-22",
"certification_date": "2024-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "331863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, LA
- Oratreadway (Hope Provider Care Service)
- Robert Fernando Ordonez, M.D.
- Ben Bernard Orlando, R.PH.
- Orthopaedic Clinic of Monroe (North Louisiana Orthopaedic and Sports Medicine Center)
- Orthopaedic Clinic of Monroe (North Louisiana Orthopaedic and Sports Medicine Clinic)
- Joan Osaigbovo
- Rachael Patterson Osbon, FNP-C
- Ouachita Council on the Aging, Inc.
- Ouachita Diagnostic Imaging
- Ouachita Home Care, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.