NPIMap

Individual provider Active NPI

Harry James Lenaburg Jr., MD

  • Physical Medicine & Rehabilitation Physician
  • Alexandria, LA
National Provider Identifier
1992937676
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
308405 Issued in LA
Practice address
104 N 3Rd St
Alexandria, LA 71301-8581
Phone
(318) 449-1370
Fax
(318) 449-8495
NPI assigned
Aug 14, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physical Medicine & Rehabilitation Physician 208100000X 308405 LA Primary
Physical Medicine & Rehabilitation Physician 208100000X 46637 AZ
Interventional Pain Medicine Physician 208VP0014X 069064 GA

Addresses

Primary practice location

104 N 3Rd St
Alexandria, LA 71301-8581

Mailing address

1617 Audubon Dr
Alexandria, LA 71301-4008
Phone (623) 824-3628

Other identifiers 1

IdentifierTypeStateIssuer
2487736MedicaidLA

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
I20190130001346 LA Practitioner - Physical Medicine and Rehabilitation 6709016371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Louisville School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

104 N 3Rd St
Alexandria, LA 71301-8581
Phone (318) 449-1370

Hospital & facility affiliations

  • Lagniappe Homecare Alexandria Home health agency, Alexandria, LA, CCN 197458
  • Stat Home Health-Central Home health agency, Alexandria, LA, CCN 197517
  • Rapides Regional Medical Center Hospital, Alexandria, LA, CCN 190026
  • Christus St Frances Cabrini Hospital Hospital, Alexandria, LA, CCN 190019
  • Avoyelles Hospital Hospital, Marksville, LA, CCN 190099
  • Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002
  • Encompass Health Rehabilitation Hospital of Alexan Inpatient rehabilitation facility, Alexandria, LA, CCN 193031

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46637AZMDPhysical Medicine & Rehabilitation Physician
308405LAMDPhysical Medicine & Rehabilitation Physician
069064GAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alexandria Rehabilitation , LLC Physical Medicine & Rehabilitation CurrentSince Oct 5, 2018 Accepting new patients
Central Louisiana Rehab Associates LP Interventional Pain Medicine Past Accepting new patients

Locations

104 N 3rd St
Alexandria, LA 71301
Phone (318) 449-1370

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1992937676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 AUDUBON DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713014008",
            "telephone_number": "623-824-3628",
            "fax_number": "318-449-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N 3RD ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018581",
            "telephone_number": "318-449-1370",
            "fax_number": "318-449-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENABURG",
        "first_name": "HARRY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-14",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "LA",
            "license": "308405",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "46637",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "069064",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2487736",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.