Sousan Lehimagar Zadeh, DO

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

000046 Issued in LA

Practice address

42388 Pelican Professional Park
Hammond, LA 70403

Phone

(985) 542-6251

Fax

(985) 345-2386

NPI assigned

Jun 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Internal Medicine Clinic of Tangipahoa, LLCGroup PAC ID 9234034778, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hammond Dialysis Clinic, LLC Dialysis facility, Hammond, LA, CCN 192732
• North Oaks Medical Center Hospital, Hammond, LA, CCN 190015
• Hood Memorial Hospital Hospital, Amite, LA, CCN 191309

Merit-based Incentive Payment System (MIPS)

Final score

91.17 of 100Reported as apm

Quality

80.65

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sousan.zadeh@imcot.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/DHBICA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Internal Medicine Clinic of Tangipahoa, LLC

  • Internal Medicine Physician
  • Hammond, LA
  • NPI 1588678494

  Nephrology

  Medicare reassignment Care Compare group NPD
• Louisiana Hyperbarics

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Hammond, LA
  • NPI 1487002150
  NPD (past)
• Nephrology Associates

  • Specialist
  • Vacherie, LA
  • NPI 1790729689
  NPD (past)

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

• Hammond Dialysis Clinic LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Hammond, LA
  • NPI 1104273457

  Dialysis facility

  Care Compare affiliation Name & address match
• Hood Memorial Hospital

  • Psychiatric Hospital Unit
  • Amite, LA
  • NPI 1649460122
  Care Compare affiliation
• Hospital Service District 2 of the Parish of Tangipahoa State of la.

  • Critical Access Hospital
  • Amite, LA
  • NPI 1003925959
  Care Compare affiliation
• North Oaks Medical Center, LLC

  • Rural Acute Care Hospital
  • Hammond, LA
  • NPI 1144227539
  Care Compare affiliation

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271894400000",
    "number": "1194920710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42388 PELICAN PROFESSIONAL PARK",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "70403",
            "telephone_number": "985-542-6251",
            "fax_number": "985-345-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42388 PELICAN PROFESSIONAL PARK",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "70403",
            "telephone_number": "985-542-6251",
            "fax_number": "985-345-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZADEH",
        "first_name": "SOUSAN",
        "middle_name": "LEHIMAGAR",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2010-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "000046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1074021",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Simmons Wynne, N.P.
• Arvind R Yertha, MD
• Deborah Yim
• Anastashia Young
• Susan Zacharia, M.D.
• Kimberly Zanders
• Niesha K Zanders
• Socrates Zapata-Campusano, M.D.
• Leslie Zazulak, LOTR
• Aliyah Salehna Zeien, RSW

• Nephrology Physician in Hammond, LA
• Providers in Hammond, LA by specialty
• Nephrology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.