Individual provider Active NPI

Alireza Sadeghi, MD

  • Plastic Surgery Physician
  • Metairie, LA
National Provider Identifier
1235308099
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
201082 Issued in LA
Practice address
4228 Houma Blvd Ste 100
Metairie, LA 70006-2900
Phone
(504) 810-4828
Fax
(504) 210-3832
NPI assigned
Feb 26, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099X 201082 LA
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 201082 LA
Plastic Surgery Physician 208200000X 201082 LA Primary

Addresses

Primary practice location

4228 Houma Blvd Ste 100
Metairie, LA 70006-2900

Mailing address

4228 Houma Blvd Ste 100
Metairie, LA 70006-2900
Phone (504) 810-4828

Other identifiers 1

IdentifierTypeStateIssuer
1007013MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 30, 2023 through Mar 30, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201082LAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgery Center LLC Nola CurrentSince Jun 27, 2021 Accepting new patients
Crescent City Physicians, Inc. Past Accepting new patients

Locations

2551 Metairie Rd
Ste 101
Metairie, LA 70001
Phone (504) 322-7435

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1235308099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4228 HOUMA BLVD STE 100",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062900",
            "telephone_number": "504-810-4828",
            "fax_number": "504-210-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 HOUMA BLVD STE 100",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062900",
            "telephone_number": "504-810-4828",
            "fax_number": "504-210-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADEGHI",
        "first_name": "ALIREZA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-26",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "LA",
            "license": "201082",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "LA",
            "license": "201082",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "LA",
            "license": "201082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007013",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.