Individual provider Active NPI

Sultan Shah Rehmanny, MD

  • Family Medicine Physician
  • Hammond, LA
National Provider Identifier
1225521008
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.327925 Issued in LA
Practice address
15790 Paul Vega MD Dr
Hammond, LA 70403-1436
Phone
(708) 629-9322
Fax
(985) 230-6480
NPI assigned
Jun 7, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X MD.327925 LA Primary

Addresses

Primary practice location

15790 Paul Vega MD Dr
Hammond, LA 70403-1436

Mailing address

15790 Paul Vega Dr
Hammond, LA 70403-1436
Phone (708) 629-9322

Other practice location 1

4864 Jackson Street
Family Medicine
Monroe, LA 71210
Phone (708) 629-9322

Other identifiers 1

IdentifierTypeStateIssuer
012489024OtherLADRIVERS LICENSE

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
I20210824001147 LA Practitioner - Family Practice 3173875044 Reassigns benefits to 4 organizations
Practice locations: Hammond, LA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Orleans Physician Services IncGroup PAC ID 5294057824, 177 clinicians
North Oaks Medical Center LLCGroup PAC ID 2466629522, 317 clinicians
Riverside Emergency Physician Partners LLCGroup PAC ID 0042568917, 12 clinicians
Curana Health of Louisiana LLCGroup PAC ID 4880731355, 140 clinicians

Practice addresses (Care Compare)

1101 Medical Ctr Blvd
Marrero, LA 70072-3147
Phone (504) 349-1297

15790 Paul Vega MD Dr
Hammond, LA 70403-1434
Phone (985) 230-3066

1900 Main St
Franklinton, LA 70438-3688
Phone (985) 839-4431

2900 Westfork Dr
Suite 401
Baton Rouge, LA 70827-0004
Phone (877) 260-4747

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.91 of 100Reported as group
Quality
78.17
Promoting interoperability
100
Improvement activities
40
Cost
67.71

Merit-based Incentive Payment System (MIPS)

Final score
78.64 of 100Reported as group
Quality
68.02
Improvement activities
40
Cost
76.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.327925LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Oaks Medical Center, LLC CurrentSince Aug 1, 2021 Accepting new patients
Riverside Emergency Physician Partners LLC CurrentSince Oct 15, 2021 Accepting new patients
Universal Behavioral Health Hospital Inc CurrentSince Jul 13, 2022 Accepting new patients
New Orleans Physician Services Inc Family Medicine CurrentSince Mar 1, 2022 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Aug 1, 2021 Accepting new patients
North Oaks Medical Center, LLC Past Accepting new patients

Locations

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

800 S Oak St
Hammond, LA 70403
Phone (504) 615-6419

1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511

5620 Read Blvd
New Orleans, LA 70127
Phone (504) 241-2664

1900 Main St
Sheridan, LA 70438
Phone (985) 839-4431

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/univers-20f52cf9

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1225521008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15790 PAUL VEGA DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031436",
            "telephone_number": "708-629-9322",
            "fax_number": "985-230-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15790 PAUL VEGA MD DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031436",
            "telephone_number": "708-629-9322",
            "fax_number": "985-230-6480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4864 Jackson Street",
            "address_2": "Family Medicine",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "71210",
            "country_code": "US",
            "telephone_number": "708-629-9322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH REHMANNY",
        "first_name": "SULTAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-07",
        "last_updated": "2024-03-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.327925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "012489024",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.