Organization provider

MID STATE ORTHOPAEDIC & SPORTS MEDICINE CENTER, LLC

Orthopaedic Surgery Physician Occupational Therapist Physical Therapist Medicare enrolled

MID STATE ORTHOPAEDIC & SPORTS MEDICINE CENTER, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1104890052, based in Alexandria, LA. The organization lists 4 taxonomy classifications, with Orthopaedic Surgery Physician recorded as primary.

Getting there

The practice address on file is 3444 MASONIC DRIVE, Alexandria, LA 71301. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

3444 MASONIC DRIVE, Alexandria, LA 71301 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
6204892540

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Orthopaedic Surgery covers

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. NUCC Health Care Provider Taxonomy, code 207X00000X
Allopathic & Osteopathic Physicians Orthopaedic Surgery

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207X00000X Orthopaedic Surgery Physician primary
225X00000X Occupational Therapist
225100000X Physical Therapist
208100000X Physical Medicine & Rehabilitation Physician

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1104890052 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateFeb 16, 2006
Last updatedMar 24, 2026
StatusActive
Practice address 3444 MASONIC DRIVE
Alexandria, LA 71301
(318) 473-9556
Fax (318) 441-8339
Other identifiers 0570570001 · MEDICARE DME GROUP # (LA)
CD7720 · RAILROAD MEDICARE PALMETT (LA)
1946320 (LA)
This record was updated on Mar 24, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1104890052 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 8 9 0 0 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 7 9 0 0 1

Sum = 48 · next multiple of 10 = 50 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104890052?
NPI 1104890052 is the National Provider Identifier assigned to MID STATE ORTHOPAEDIC & SPORTS MEDICINE CENTER, LLC in Alexandria, LA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Orthopaedic Surgery Physician cover?
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital…
How do I contact MID STATE ORTHOPAEDIC & SPORTS MEDICINE CENTER, LLC?
The phone number on file with NPPES is (318) 473-9556, last updated Mar 24, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does MID STATE ORTHOPAEDIC & SPORTS MEDICINE CENTER, LLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104890052 a valid number?
Yes. 1104890052 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.