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DR. SHAAWN BASHARAT ALI D.O.
NPI 1184099699
Family Medicine in Lafayette, LA

Active since December 09, 2015PECOS Enrolled
4212 W CONGRESS ST STE 3100, LAFAYETTE, LA 70506(337) 703-3201(337) 703-3202 Get Directions Write a Review

NPPES record last updated: September 19, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 19, 2019, Dec 9, 2015 (2 updates tracked since 2015).

About Dr. Shaawn Basharat Ali D.o. NPPES

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

DR. SHAAWN BASHARAT ALI D.O. (NPI 1184099699) is an individual family medicine provider in Lafayette, Louisiana, licensed in Florida (OS 13703) and active in the NPI registry since December 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1184099699
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SHAAWN BASHARAT ALICredential: D.O.
Location Address4212 W CONGRESS ST STE 3100Lafayette, LA 70506-6771
Mailing AddressPo Box 919229Dallas, TX 75391-9229 · (337) 289-8944 · Fax (337) 571-0030
Phone(337) 703-3201
Fax(337) 703-3202
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 9, 2015
Last NPPES UpdateSeptember 19, 20192 updates tracked since enumeration
✔ NPI 1184099699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · OS 13703
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4212 W CONGRESS ST STE 3100, Lafayette, LA 70506
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shaawn Basharat Ali D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597064063
PECOS Enrollment IDI20250924001536
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Shaawn Ali reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lsuhn Billing LLC
2.3 mi
Multi-Specialty
2390 W CONGRESS ST
Lafayette, LA 70506
  • Reassigned Medicare billing, Louisiana enrollment
  • 548 clinicians in this Medicare group
NPI 1992975775 (877) 988-1890
University Hospital And Clinics, Inc.
2.3 mi
Clinic/Center
2390 W CONGRESS ST
Lafayette, LA 70506
  • Reassigned Medicare billing, Louisiana enrollment
  • Medicare enrollment name: University Hospital & Clinics, Inc.
  • 206 clinicians in this Medicare group
NPI 1265042782 (337) 261-6000
Sameer Syed, MD, PA
357 mi
Pain Medicine
1701 N US HIGHWAY 75 STE 100
Sherman, TX 75090
  • Reassigned Medicare billing, Texas enrollment
  • 17 clinicians in this Medicare group
NPI 1568984573 (214) 817-4225

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

TODD A DEVALCOURT P.A.
Physician Assistant
4212 W CONGRESS ST STE 3100
LAFAYETTE, LA 70506
Lafayette Parish (337) 703-3201
EDWARD SCOTT YERGER M.D.
Specialist
4212 W CONGRESS ST STE 3100
LAFAYETTE, LA 70506
Lafayette Parish (337) 703-3201
OTIS RASHAD DREW M.D.
Orthopaedic Surgery
4212 W CONGRESS ST STE 3100
LAFAYETTE, LA 70506
Lafayette Parish (337) 703-3201
MADISON RAE BOLGIANO PA-C
Physician Assistant
4212 W CONGRESS ST STE 3100
LAFAYETTE, LA 70506
Lafayette Parish (337) 703-3220
CAROLINE DOERLE BOUY FNP
Nurse Practitioner (Family)
4212 W CONGRESS ST STE 3100
LAFAYETTE, LA 70506
Lafayette Parish (337) 703-3201
KIMBERLY P. HARDING PA
Physician Assistant (Surgical)
4212 W CONGRESS ST STE 3100
LAFAYETTE, LA 70506
Lafayette Parish (337) 703-3201
ADRIENNE REDMON FNP-C
Nurse Practitioner (Family)
4212 W CONGRESS ST STE 3100
LAFAYETTE, LA 70506
Lafayette Parish (337) 216-9018
BRIAN EDWARD ETIER JR. M.D.
Orthopaedic Surgery
4212 W CONGRESS ST STE 3100
LAFAYETTE, LA 70506
Lafayette Parish (337) 703-3201

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 Shaawn Ali's NPI number?

The NPI number for Shaawn Ali is 1184099699. It was assigned to this individual provider in the NPPES registry on December 9, 2015.

Where is Shaawn Ali located?

Shaawn Ali practices at 4212 W Congress St Ste 3100, Lafayette, LA 70506. The listed phone number is (337) 703-3201.

What is Shaawn Ali's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shaawn Ali enrolled in Medicare?

Yes. Shaawn Ali is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shaawn Ali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shaawn Ali reassigns Medicare benefits to 3 organizations: Lsuhn Billing LLC (Lafayette, LA), University Hospital And Clinics, Inc. (Lafayette, LA) and Sameer Syed, MD, PA (Sherman, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shaawn Ali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shaawn Ali accept?

Health plans from Blue Cross and Blue Shield of Texas and Cigna Healthcare list Shaawn Ali as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shaawn Ali was last updated on September 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.