NPIMap

Individual provider Active NPI

Ariel O Antezana

  • Neurology Physician
  • Alexandria, LA
National Provider Identifier
1962737080
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD206719 Issued in LA
Practice address
3311 Prescott Rd Ste 216
Alexandria, LA 71301-3983
Phone
(318) 443-0490
Fax
(318) 443-0690
NPI assigned
Oct 7, 2009
Last updated
Aug 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD206719 LA Primary

Addresses

Primary practice location

3311 Prescott Rd Ste 216
Alexandria, LA 71301-3983

Mailing address

3311 Prescott Rd Ste 216
Alexandria, LA 71301-3983
Phone (318) 443-0490

Other practice location 1

800 Poly Pl
Brooklyn, NY 11209-7104
Phone (718) 836-6600

Other identifiers 1

IdentifierTypeStateIssuer
2372823MedicaidLA

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
I20141002000816 LA Practitioner - Neurology 5193945780 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Lasalle Parish Hospital Service Dist No1Group PAC ID 6709781545, shared by 5 NPIs, 22 clinicians
Physical Therapy Services of West Louisiana IncGroup PAC ID 0446388763, 92 clinicians
Neuromedical Clinic of Cenla,L.L.C.Group PAC ID 7517039480, 2 clinicians

Practice addresses (Care Compare)

1102 N Pine Rd
Olla, LA 71465-4804
Phone (318) 495-3131

301 W Fertitta Blvd
Suite 4
Leesville, LA 71446-4665
Phone (337) 238-9931

3311 Prescott Rd
Suite 216
Alexandria, LA 71301-3983
Phone (318) 443-0490

3330 Masonic Dr
Alexandria, LA 71301-3841
Phone (318) 487-1122

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD206719LAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lasalle Parish Hospital Service District #1 CurrentSince Jan 19, 2015 Accepting new patients
Lasalle Parish Hospital Service District #1 CurrentSince Jan 19, 2015 Accepting new patients
Christus Health Central Louisiana Neurology CurrentSince Dec 1, 2014 Accepting new patients
Christus Health Central Louisiana CurrentSince Dec 1, 2014 Accepting new patients
Lasalle Parish Hospital Service Dist No1 CurrentSince Jan 19, 2015 Accepting new patients
Neuromedical Clinic of Cenla,L.L.C. CurrentSince Aug 4, 2014 Accepting new patients
M. R. Imaging Systems, Inc. Specialist CurrentSince Feb 1, 2020 Accepting new patients
Lasalle Hospital Service Dist #1 Past Accepting new patients

Locations

3311 Prescott Rd
Ste 216
Alexandria, LA 71301
Phone (318) 443-0490

3311 Prescott Rd
Ste 216A
Alexandria, LA 71301

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

1049 N Pine Rd
Olla, LA 71465
Phone (318) 495-3175

1049 N Pine Rd
Ste D
Olla, LA 71465
Phone (318) 495-0758

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

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 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": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1962737080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 PRESCOTT RD STE 216",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013983",
            "telephone_number": "318-443-0490",
            "fax_number": "318-443-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 PRESCOTT RD STE 216",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013983",
            "telephone_number": "318-443-0490",
            "fax_number": "318-443-0690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Poly Pl",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112097104",
            "country_code": "US",
            "telephone_number": "718-836-6600",
            "fax_number": "718-630-3761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTEZANA",
        "first_name": "ARIEL",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-07",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "MD206719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2372823",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.