NPIMap

Individual provider Active NPI

Paul R Smith, M.D.

  • Diagnostic Radiology Physician
  • Alexandria, LA
National Provider Identifier
1962400218
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
13734R Issued in LA
Practice address
3704 North Blvd
Suite 1
Alexandria, LA 71301-3606
Phone
(318) 442-8399
Fax
(318) 448-9897
NPI assigned
Jul 11, 2005
Last updated
Mar 21, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 13734R LA
Diagnostic Radiology Physician 2085R0202X 13734R LA Primary

Addresses

Primary practice location

3704 North Blvd
Suite 1
Alexandria, LA 71301-3606

Mailing address

PO Box 6284
Alexandria, LA 71307-6284
Phone (318) 442-8399

Other identifiers 2

IdentifierTypeStateIssuer
1429864MedicaidLA
300113464OtherLARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100921001187 LA Practitioner - Diagnostic Radiology 8820086564 Reassigns benefits to 1 organization
I20151221000753 CO Practitioner - Diagnostic Radiology 8820086564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, Geffen School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Southwest LouisianaGroup PAC ID 0941243562, 98 clinicians

Practice addresses (Care Compare)

1 Medical Plaza PL
Minden, LA 71055-3330
Phone (866) 722-1655

14265 Millhaven PL
Colorado Springs, CO 80908-3261
Phone (337) 439-4706

1700 Lindberg Dr
Slidell, LA 70458-8062
Phone (985) 641-0600

1701 Oak Park Blvd
Lake Charles, LA 70601-8911
Phone (337) 494-3036

211 4TH St
Alexandria, LA 71301-8421
Phone (318) 473-3000

3704 N Blvd
Alexandria, LA 71301-3658
Phone (318) 545-4038

740 Keyser Ave
Natchitoches, LA 71457-6037
Phone (318) 356-5859

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Quality
86.33
Improvement activities
40
Cost
87.82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13734RLAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Southwest Louisiana Diagnostic Radiology CurrentSince Jul 1, 2011 Accepting new patients
Cenla Images Associates Specialist Past Accepting new patients
Central Louisiana Imaging Center LLC Past Accepting new patients
Red Mountain Radiology Professional LLC Past Accepting new patients
Central Louisiana Imaging, Inc. Specialist Past Accepting new patients
Christus Health Central Louisiana Past Accepting new patients
Lasalle Parish Hospital Service Dist No1 Past Accepting new patients
Lasalle Parish Hospital Service District #1 Past Accepting new patients
Minimally Invasive Image Guided Specialists, LLC Specialist Past Accepting new patients

Locations

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

221 Windermere Blvd
Alexandria, LA 71303
Phone (318) 427-3300

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

3704 North Blvd
Alexandria, LA 71301
Phone (318) 448-8211

3704 North Blvd
Ste 1
Alexandria, LA 71301
Phone (318) 442-8399

5413 Jackson Street Ext
Alexandria, LA 71303
Phone (318) 442-8399

1800 Ryan St
Ste 105
Lake Charles, LA 70601
Phone (337) 291-9161

740 Keyser Ave
Natchitoches, LA 71457
Phone (318) 238-5050

1102 N Pine Rd
Olla, LA 71465
Phone (318) 495-5302

Organizations & group practices 9

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 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1962400218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6284",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713076284",
            "telephone_number": "318-442-8399",
            "fax_number": "318-448-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 NORTH BLVD",
            "address_2": "SUITE 1",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013606",
            "telephone_number": "318-442-8399",
            "fax_number": "318-448-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PAUL",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "13734R",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "13734R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1429864",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300113464",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.