Individual provider Active NPI

Abdolreza Vadiee, MD, PHD

  • Physical Medicine & Rehabilitation Physician
  • Chalmette, LA
National Provider Identifier
1093770794
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
023512 Issued in LA
Practice address
125 E Saint Bernard Hwy
Chalmette, LA 70043-5159
Phone
(504) 278-1414
Fax
(504) 278-1455
NPI assigned
Apr 18, 2006
Last updated
Sep 3, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 023512 LA Primary
General Practice Physician 208D00000X 023512 LA

Addresses

Primary practice location

125 E Saint Bernard Hwy
Chalmette, LA 70043-5159

Mailing address

125 E Saint Bernard Hwy
Chalmette, LA 70043-5159
Phone (504) 278-1414

Other identifiers 2

IdentifierTypeStateIssuer
1486183MedicaidLA
250012301OtherRAILROAD MEDICARE

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
I20060306000115 LA Practitioner - General PracticePractitioner - Physical Medicine and Rehabilitation 0941216683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Physical Medicine and Rehabilitation
Education
Louisiana State University School of Medicine in New Orleans, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Abdolreza Vadiee, Inc.Group PAC ID 2365462611, 2 clinicians

Practice addresses (Care Compare)

125 E Saint Bernard Hwy
Chalmette, LA 70043-5159
Phone (504) 278-1414

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023512LAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abdolreza Vadiee, Inc. Physical Medicine & Rehabilitation CurrentSince Oct 22, 1998 Accepting new patients
St. Bernard Health Center, Inc Past Accepting new patients
St. Bernard Health Center, Inc. Past Accepting new patients

Locations

125 E Saint Bernard Hwy
Chalmette, LA 70043
Phone (504) 278-1414

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1093770794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E SAINT BERNARD HWY",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700435159",
            "telephone_number": "504-278-1414",
            "fax_number": "504-278-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E SAINT BERNARD HWY",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700435159",
            "telephone_number": "504-278-1414",
            "fax_number": "504-278-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADIEE",
        "first_name": "ABDOLREZA",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "LA",
            "license": "023512",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "023512",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1486183",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "250012301",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chalmette, LA

Sources for this page

Verify at the official NPI Registry.