Individual provider Active NPI

Reda William, M.D.

  • Emergency Medicine Physician
  • Covington, LA
National Provider Identifier
1982638276
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
08146R Issued in LA
Practice address
73153 Military Rd
Covington, LA 70435-6054
Phone
(985) 626-6133
Fax
(985) 626-6136
NPI assigned
Jul 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 08146R LA Primary

Addresses

Primary practice location

73153 Military Rd
Covington, LA 70435-6054

Mailing address

541 Suite E Versailles Blvd
Alexandria, LA 71303
Phone (318) 561-0232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040726000003 LA Practitioner - Emergency MedicinePractitioner - General Surgery 7719967165 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Derussy Emergency Group LLCGroup PAC ID 3870834641, 14 clinicians

Practice addresses (Care Compare)

4231 Hwy 1192
Marksville, LA 71351-4711
Phone (318) 240-6045

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
08146RLAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Service District No 1 Parish of Avoyelles State of Louisiana CurrentSince Mar 9, 2017 Accepting new patients
Oakdale Ess LLC Emergency Medicine CurrentSince Jan 1, 2015 Accepting new patients
Hospital Service District No 1 Parish of Avoyelles State of Louisiana CurrentSince Mar 9, 2017 Accepting new patients
Leatherwood Emergency Group, LLC Emergency Medicine CurrentSince Mar 27, 2019 Accepting new patients
Ess Region II LLC Past Accepting new patients
Nes Louisiana Inc Emergency Medicine PastSince Jul 10, 2022 Accepting new patients
Hospital Service District No. 2 Past Accepting new patients

Locations

427 Evergreen St
Bunkie, LA 71322
Phone (318) 346-6681

207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109

130 Hospital Dr
Oakdale, LA 71463
Phone (318) 215-3084

17304 Preston Rd
Ste 1400
Dallas, TX 75252
Phone (972) 934-3200

Interoperability endpoints

  • Direct secure messaging: avhrwilli@yourcarecommunity.org

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 1

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982638276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 SUITE E VERSAILLES BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "71303",
            "telephone_number": "318-561-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73153 MILITARY RD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704356054",
            "telephone_number": "985-626-6133",
            "fax_number": "985-626-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAM",
        "first_name": "REDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "08146R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.