SOMAR SOUFAN M.D.
NPI 1134913650
Student in an Organized Health Care Education/Training Program in Baton Rouge, LA

Active since April 08, 2025PECOS Enrolled
3401 NORTH BOULEVARD SUITE 130 BRG MID CITY MEDICINE CL, BATON ROUGE, LA 70806(225) 387-7900 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Somar Soufan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOMAR SOUFAN M.D. (NPI 1134913650) is an individual student in an organized health care education/training program in Baton Rouge, Louisiana and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134913650
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSOMAR SOUFANCredential: M.D.
Location Address3401 NORTH BOULEVARD SUITE 130 BRG MID CITY MEDICINE CLBaton Rouge, LA 70806
Mailing Address3401 North Boulevard Suite 130 Brg Mid City Medicine ClBaton Rouge, LA 70806 · (225) 387-7900
Sole ProprietorNo
Enumeration DateApril 8, 2025
Last NPPES UpdateOctober 28, 2025
NPPES CertifiedOctober 28, 2025
NPI 1134913650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3401 NORTH BOULEVARD SUITE 130 BRG MID CITY MEDICINE CL, Baton Rouge, LA 70806

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Somar Soufan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
3401 NORTH BOULEVARD SUITE 130 BRG MID CITY MEDICINE CL
BATON ROUGE, LA 70806

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Somar Soufan's NPI number?

The NPI number for Somar Soufan is 1134913650. It was assigned to this individual provider in the NPPES registry on April 8, 2025.

Where is Somar Soufan located?

Somar Soufan practices at 3401 North Boulevard Suite 130 Brg Mid City Medicine Cl, Baton Rouge, LA 70806. The listed phone number is (225) 387-7900.

What is Somar Soufan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Somar Soufan enrolled in Medicare?

Yes. Somar Soufan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Somar Soufan was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.