Active NPI
Muhammad Ahzam, MD
- Emergency Medicine Physician
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 341693
- Practice address
- 1501 Kings Hwy
Shreveport, LA 71103-4228 - Phone
- (318) 626-2326
- NPI assigned
- Apr 17, 2020
- Last updated
- Nov 13, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 341693 | LA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HCC of El Dorado LLC | Current | Accepting new patients | |
| Prime Physicians LLC | Current | Accepting new patients | |
| Mercy Hospital Waldron | Current | Accepting new patients | |
| Mercy Hospital Booneville | Current | Accepting new patients | |
| Concord Medical Group PLLC | Emergency Medicine | Current | Accepting new patients |
| Highland Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Correct Care, Inc. | Emergency Medicine | Current | Accepting new patients |
| Ouachita County Medical Center | Current | Accepting new patients | |
| Mercy Hospital Ozark | Current | Accepting new patients | |
| Arkansas Emergency Staffing Solutions, Inc | Emergency Medicine | Current | Accepting new patients |
| Hospital Care Consultants of Fordyce LLC | Current | Accepting new patients | |
| Ouachita County Medical Center | Current | Accepting new patients | |
| Mercy Hospital Paris | Current | Accepting new patients | |
| Emergency Staffing Solutions Region III | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospital Booneville | Current | Accepting new patients | |
| Mercy Hospital Waldron | Current | Accepting new patients | |
| Concord Medical Group of Texas PLLC | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospital Paris | Current | Accepting new patients | |
| Ess of Fordyce LLC | Emergency Medicine | Current | Accepting new patients |
| Ess of El Dorado, LLC | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospital Paris | Current | Accepting new patients | |
| Mercy Hospital Ozark | Current | Accepting new patients | |
| Mercy Hospital Waldron | Current | Accepting new patients | |
| Georgia Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospital Booneville | Current | 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
- 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.
-
- Emergency Medicine Physician
- Shreveport, LA
- NPI 1154913861
-
- Emergency Care Clinic/Center
- Camden, AR
- NPI 1346354826
-
- Emergency Medicine Physician
- Hope, AR
- NPI 1275774630
-
- Emergency Medicine Physician
- El Dorado, AR
- NPI 1861851131
-
- Emergency Medicine Physician
- Fordyce, AR
- NPI 1821547977
-
- Emergency Medicine Physician
- Griffin, GA
- NPI 1952746638
-
- Hospitalist Physician
- El Dorado, AR
- NPI 1003578725
-
- Hospitalist Physician
- Fordyce, AR
- NPI 1316497464
-
- Certified Registered Nurse Anesthetist
- Booneville, AR
- NPI 1083004733
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Christus Shreveport-Bossier Health System
- General Acute Care Hospital
- Shreveport, LA
- NPI 1417950106
-
dba Magnolia Regional Medical Center
- Critical Access Hospital
- Magnolia, AR
- NPI 1700407541
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.