NPIMap

Individual provider Active NPI

Jalal Joudeh, M.D.

  • Internal Medicine Physician
  • Dequincy, LA
National Provider Identifier
1861425324
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11027R Issued in LA
Practice address
601 W 4TH St
Dequincy, LA 70633-3301
Phone
(337) 786-6161
Fax
(337) 786-7999
NPI assigned
Jul 8, 2006
Last updated
Dec 21, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 11027R LA Primary

Addresses

Primary practice location

601 W 4TH St
Dequincy, LA 70633-3301

Mailing address

601 W 4TH St
P.O. Box 866
Dequincy, LA 70633-3301
Phone (337) 786-6161

Other identifiers 1

IdentifierTypeStateIssuer
1653811MedicaidLA

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
I20110606000727 LA Practitioner - Internal MedicinePractitioner - Emergency Medicine 9931146230 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
May accept Medicare assignment
Group practices
Allegiance Medical Clinic of Dequincy LLCGroup PAC ID 1850779950, 2 clinicians

Practice addresses (Care Compare)

601 W 4TH St
Dequincy, LA 70633-3301
Phone (337) 786-6161

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11027RLAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegiance Medical Clinic of Dequincy LLC Internal Medicine CurrentSince Jun 1, 2022 Accepting new patients
Correct Care, Inc. CurrentSince May 20, 2011 Accepting new patients
Jalal Joudeh Internal Medicine CurrentSince Jan 3, 2000 Accepting new patients
Buxton Emergency Group, LLC CurrentSince May 1, 2019 Accepting new patients
De Queen Medical Center Inc PastSince Apr 30, 2003 Accepting new patients
St Michael Pfu LLC Past Accepting new patients
CLHG-Dequincy, LLC Past Accepting new patients

Locations

17438 Hard Hat Dr
Covington, LA 70435
Phone (985) 248-5600

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

110 W 4th St
Dequincy, LA 70633
Phone (337) 363-9470

601 W 4th St
Dequincy, LA 70633
Phone (337) 786-6161

301 Memorial Dr
Donaldsonvlle, LA 70346
Phone (225) 473-7931

900 Johnson St
Tallulah, LA 71282
Phone (318) 395-2241

Interoperability endpoints

  • Direct secure messaging: dmhjjoude@yourcarecommunity.org
  • Direct secure messaging: jalal.joudeh.1@24793.direct.athenahealth.com

Organizations & group practices 7

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 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1861425324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W 4TH ST",
            "address_2": "P.O. BOX 866",
            "city": "DEQUINCY",
            "state": "LA",
            "postal_code": "706333301",
            "telephone_number": "337-786-6161",
            "fax_number": "337-786-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W 4TH ST",
            "city": "DEQUINCY",
            "state": "LA",
            "postal_code": "706333301",
            "telephone_number": "337-786-6161",
            "fax_number": "337-786-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOUDEH",
        "first_name": "JALAL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "11027R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1653811",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dequincy, LA

Sources for this page

Verify at the official NPI Registry.