Individual provider Active NPI

Ahmet Bedestani, MD

  • Obstetrics & Gynecology Physician
  • Flowood, MS
National Provider Identifier
1134328800
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
28542 Issued in MS
Practice address
1040 River Oaks Dr Ste 103
Flowood, MS 39232-9531
Phone
(601) 948-6540
Fax
(601) 948-6518
NPI assigned
Jul 13, 2007
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 28542 MS Primary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 28542 MS

Addresses

Primary practice location

1040 River Oaks Dr Ste 103
Flowood, MS 39232-9531

Mailing address

1040 River Oaks Dr Ste 103
Flowood, MS 39232-9531
Phone (601) 948-6840

Other practice location 1

111 Colony Crossing Way Ste 250
Madison, MS 39110-6832
Phone (601) 326-6401

Other identifiers 2

IdentifierTypeStateIssuer
1017086MedicaidLA
28542OtherMSMSBML

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100730000194 LA Practitioner - Obstetrics/Gynecology 8022102425 Reassigns benefits to 1 organization
I20240202003917 MS Practitioner - Obstetrics/Gynecology 8022102425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Urogyn LLCGroup PAC ID 7517197718, 9 clinicians

Practice addresses (Care Compare)

1040 River Oaks Dr
Suite 103
Flowood, MS 39232-9531
Phone (601) 948-6540

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28542MSMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Feb 18, 2019 Accepting new patients
Ochsner Clinic LLC CurrentSince Feb 18, 2019 Accepting new patients
Southeast Urogyn LLC Obstetrics & Gynecology CurrentSince Jan 1, 2024 Accepting new patients
Lafayette OB Hospitalists LLC Obstetrics & Gynecology Past Accepting new patients
Lsuhn Billing LLC Past Accepting new patients

Locations

1514 Jefferson Hwy
New Orleans, LA 70121

4429 Clara St
New Orleans, LA 70115
Phone (504) 842-9618

4429 Clara St
Ste 440
New Orleans, LA 70115
Phone (504) 824-9618

1040 River Oaks Dr
Ste 101
Flowood, MS 39232
Phone (601) 933-5405

1040 River Oaks Dr
Ste 103
Jackson, MS 39232
Phone (601) 326-2599

111 Colony Crossing Way
Ste 250
Madison, MS 39110
Phone (601) 326-6401

Interoperability endpoints

  • Direct secure messaging: abedestani725933@direct.ochsner.org
  • Direct secure messaging: ahmet.bedestani.1@30135.direct.athenahealth.com

Organizations & group practices 5

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 1

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": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1134328800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 RIVER OAKS DR STE 103",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329531",
            "telephone_number": "601-948-6840",
            "fax_number": "601-948-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 RIVER OAKS DR STE 103",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329531",
            "telephone_number": "601-948-6540",
            "fax_number": "601-948-6518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Colony Crossing Way Ste 250",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "391106832",
            "country_code": "US",
            "telephone_number": "601-326-6401",
            "fax_number": "601-326-6405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEDESTANI",
        "first_name": "AHMET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "28542",
            "primary": true
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "MS",
            "license": "28542",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017086",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MSBML",
            "identifier": "28542",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.