Individual provider Active NPI

Maysa Alavi, M.D.

  • Family Medicine Physician
  • New Orleans, LA
National Provider Identifier
1033474234
Registry record updated Mar 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
54409 Issued in AZ
Practice address
1772 Prytania St Ste 205&206
New Orleans, LA 70130-5261
Phone
(929) 376-2972
NPI assigned
Jul 12, 2012
Last updated
Mar 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 54409 AZ Primary

Addresses

Primary practice location

1772 Prytania St Ste 205&206
New Orleans, LA 70130-5261

Mailing address

1772 Prytania St Ste 205&206
New Orleans, LA 70130-5261

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
I20201111000604 LA Practitioner - Family Practice 9739464728 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54409AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Bernard Emergency Group, LLC CurrentSince Sep 30, 2020 Accepting new patients

Locations

8000 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 493-6078

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647043200000",
    "number": "1033474234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1772 PRYTANIA ST STE 205&206",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701305261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1772 PRYTANIA ST STE 205&206",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701305261",
            "telephone_number": "929-376-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAVI",
        "first_name": "MAYSA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2022-03-12",
        "certification_date": "2022-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "54409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.