Active NPI
Shaza R Mohamed, M.D.
- Internal Medicine Physician
- Marrero, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD.305408
- Practice address
- 1101 Medical Center Blvd
4 West
Marrero, LA 70072 - Phone
- (504) 349-1656
- Fax
- (504) 349-1933
- NPI assigned
- Mar 30, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | MD.305408 | LA | Primary |
Addresses
Primary practice location
1101 Medical Center Blvd
4 West
Marrero, LA 70072
Mailing address
1101 Medical Center Blvd
Attn: Medical Staff Office
Marrero, LA 70072
Phone (504) 349-1297
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 Medical Ctr Blvd
Marrero, LA 70072-3147
Phone (504) 349-1297
Hospital & facility affiliations
- West Jefferson Medical Center
- East Jefferson General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.64 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD.305408 | LA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Orleans Physician Services Inc | Internal Medicine | Current | Accepting new patients |
| West Jefferson Holdings, LLC | Past | Accepting new patients | |
| WJH Physician Services | Internal Medicine | Past | Accepting new patients |
Locations
1101 Medical Center Blvd
#4W
Marrero, LA 70072
Phone (504) 349-1656
1101 Medical Center Blvd
Ofc
Marrero, LA 70072
Phone (504) 349-1119
1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Marrero, LA
- NPI 1396169678
-
- General Acute Care Hospital
- Marrero, LA
- NPI 1265437644
-
- Internal Medicine Physician
- Marrero, LA
- NPI 1417966193
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1033611454
-
- General Acute Care Hospital
- Metairie, LA
- NPI 1497792527
-
- Psychiatric Hospital Unit
- Covington, LA
- NPI 1790722825
-
- General Acute Care Hospital
- Marrero, LA
- NPI 1265437644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520899200000",
"number": "1265964191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 MEDICAL CENTER BLVD",
"address_2": "ATTN: MEDICAL STAFF OFFICE",
"city": "MARRERO",
"state": "LA",
"postal_code": "70072",
"telephone_number": "504-349-1297",
"fax_number": "504-349-1146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 MEDICAL CENTER BLVD",
"address_2": "4 WEST",
"city": "MARRERO",
"state": "LA",
"postal_code": "70072",
"telephone_number": "504-349-1656",
"fax_number": "504-349-1933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAMED",
"first_name": "SHAZA",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-30",
"last_updated": "2018-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "MD.305408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marrero, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; 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.