Individual provider Active NPI

Muhammad Ahzam, MD

  • Emergency Medicine Physician
  • Shreveport, LA
National Provider Identifier
1891315008
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
341693 Issued in LA
Practice address
1501 Kings Hwy
Shreveport, LA 71103-4228
Phone
(318) 626-2326
NPI assigned
Apr 17, 2020
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Emergency Medicine Physician 207P00000X 341693 LA Primary
Family Medicine Physician 207Q00000X E-15189 AR

Addresses

Primary practice location

1501 Kings Hwy
Shreveport, LA 71103-4228

Mailing address

6051 Roma Dr Apt 210
Shreveport, LA 71105-4664
Phone (405) 519-1592

Other practice location 1

612 S 12th St
Fort Smith, AR 72901-4702
Phone (479) 785-2431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, LA, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220727001794 AR Practitioner - Family Practice 8527480177 Reassigns benefits to 16 organizations
I20241122001562 LA Practitioner - Emergency Medicine 8527480177 Reassigns benefits to 2 organizations
I20260225003262 GA Practitioner - Emergency Medicine 8527480177 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Staffing Solutions Region IIIGroup PAC ID 3375721707, 3 clinicians
Highland Emergency Group, LLCGroup PAC ID 6800295890, 42 clinicians
Ouachita County Medical CenterGroup PAC ID 4587641055, 29 clinicians

Practice addresses (Care Compare)

101 Hospital Dr
Magnolia, AR 71753-2415
Phone (870) 235-3000

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6800
Phone (318) 681-4500

638 California Ave SW
Camden, AR 71701-4604
Phone (870) 836-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
341693LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HCC of El Dorado LLC CurrentSince Jan 1, 2026 Accepting new patients
Prime Physicians LLC CurrentSince Jun 10, 2022 Accepting new patients
Mercy Hospital Waldron CurrentSince May 3, 2023 Accepting new patients
Mercy Hospital Booneville Current Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Highland Emergency Group, LLC Emergency Medicine CurrentSince Oct 26, 2025 Accepting new patients
Correct Care, Inc. Emergency Medicine CurrentSince Nov 20, 2023 Accepting new patients
Ouachita County Medical Center CurrentSince Dec 20, 2025 Accepting new patients
Mercy Hospital Ozark CurrentSince May 3, 2023 Accepting new patients
Arkansas Emergency Staffing Solutions, Inc Emergency Medicine CurrentSince Dec 7, 2022 Accepting new patients
Hospital Care Consultants of Fordyce LLC CurrentSince Dec 7, 2022 Accepting new patients
Ouachita County Medical Center CurrentSince Dec 20, 2025 Accepting new patients
Mercy Hospital Paris Current Accepting new patients
Emergency Staffing Solutions Region III Emergency Medicine CurrentSince Nov 17, 2024 Accepting new patients
Mercy Hospital Booneville CurrentSince May 3, 2023 Accepting new patients
Mercy Hospital Waldron Current Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Mercy Hospital Paris CurrentSince May 3, 2023 Accepting new patients
Ess of Fordyce LLC Emergency Medicine CurrentSince Dec 7, 2022 Accepting new patients
Ess of El Dorado, LLC Emergency Medicine CurrentSince Jan 1, 2026 Accepting new patients
Mercy Hospital Paris CurrentSince May 3, 2023 Accepting new patients
Mercy Hospital Ozark CurrentSince May 3, 2023 Accepting new patients
Mercy Hospital Waldron Current Accepting new patients
Georgia Emergency Group, LLC Emergency Medicine CurrentSince Feb 11, 2026 Accepting new patients
Mercy Hospital Booneville CurrentSince May 3, 2023 Accepting new patients

Locations

451 W Locke St
Ashdown, AR 71822
Phone (870) 265-5351

128 Daniel Dr
Booneville, AR 72927
Phone (479) 675-2455

880 W Main St
Booneville, AR 72927
Phone (479) 675-2800

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

638 California Ave SW
East Camden, AR 71701
Phone (870) 836-1000

700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200

201 N Clifton St
Fordyce, AR 71742
Phone (870) 352-6300

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

101 Hospital Dr
Magnolia, AR 71753
Phone (870) 235-3000

311 Morrow St N
Mena, AR 71953
Phone (479) 394-6100

801 W River St
Ozark, AR 72949
Phone (479) 667-4138

500 E Academy St
Paris, AR 72855
Phone (479) 963-6101

1341 W 6th St
Waldron, AR 72958
Phone (479) 637-2136

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

1050 McDonough Rd
Jackson, GA 30233
Phone (770) 775-7861

2531 Viking Dr
Bossier City, LA 71111
Phone (318) 681-7000

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

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

2001 Doctors Dr
Springhill, LA 71075
Phone (318) 539-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 2

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": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1891315008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6051 ROMA DR APT 210",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711054664",
            "telephone_number": "405-519-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-626-2326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "612 S 12th St",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729014702",
            "country_code": "US",
            "telephone_number": "479-785-2431",
            "fax_number": "479-785-0732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHZAM",
        "first_name": "MUHAMMAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-17",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "341693",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-15189",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.