NPIMap

Individual provider Active NPI

Joseph R. Nida, M.D.

  • Family Medicine Physician
  • Minden, LA
National Provider Identifier
1942273776
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26100 Issued in LA
Practice address
208 Morris Drive
Minden, LA 71055
Phone
(318) 377-8260
Fax
(318) 377-9053
NPI assigned
Feb 10, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26100 LA Primary

Addresses

Primary practice location

208 Morris Drive
Minden, LA 71055

Mailing address

208 Morris Drive
Minden, LA 71055
Phone (318) 377-8260

Other identifiers 4

IdentifierTypeStateIssuer
1053881MedicaidLA
158643001MedicaidAR
E4940OtherAR STATE LICENSE
30799OtherLA CDS

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
I20050801000284 LA Practitioner - Family Practice 6103854161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minden Family Care Center, LLCGroup PAC ID 1456337658, 4 clinicians

Practice addresses (Care Compare)

208 Morris Dr
Minden, LA 71055-3053
Phone 3183778260105

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26100LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Springhill Medical Services, Inc. CurrentSince Nov 17, 2000 Accepting new patients
Minden Family Care Center, LLC Family Medicine CurrentSince Apr 1, 2023 Accepting new patients
Springhill Medical Services, Inc. Family Medicine CurrentSince Nov 17, 2000 Accepting new patients
Springhill Medical Services, Inc. CurrentSince Nov 17, 2000 Accepting new patients
Regional Hospice Care Group Nwla, LLC Family Medicine Past Accepting new patients
Minden Community Care Center, LLC Past Accepting new patients
Nexion Health at Minden Inc Past Accepting new patients

Locations

208 Morris Dr
Minden, LA 71055
Phone (318) 377-8260

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EGEDAD
  • Direct secure messaging: joseph.nida@mfcc.eclinicaldirectplus.com
  • Direct secure messaging: nida_dr_joseph@yourcarecommunity.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Minden Family Care CenterMinden, LA, CCN 193811 Rural health clinic Corporate Director (100%) Jun 19, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 12

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1942273776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 MORRIS DRIVE",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "71055",
            "telephone_number": "318-377-8260",
            "fax_number": "318-377-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 MORRIS DRIVE",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "71055",
            "telephone_number": "318-377-8260",
            "fax_number": "318-377-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIDA",
        "first_name": "JOSEPH",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "26100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053881",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158643001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR STATE LICENSE",
            "identifier": "E4940",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA CDS",
            "identifier": "30799",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minden, LA

Sources for this page

Verify at the official NPI Registry.