NPIMap

Organization Active NPI

Abdolreza Vadiee, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Chalmette, LA
National Provider Identifier
1295790723
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
023512 Issued in LA
Legal business name
ABDOLREZA VADIEE, INC.
Practice address
125 E Saint Bernard Hwy
Chalmette, LA 70043-5159
Phone
(504) 278-1414
Fax
(504) 278-1455
NPI assigned
Apr 18, 2006
Reactivated
Oct 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Authorized official

Name
Dr. Abdolreza Vadiee, MD, PHDNPI 1093770794
Title
President
Phone
(504) 278-1414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 023512 LA Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 023512 LA

Addresses

Primary practice location

125 E Saint Bernard Hwy
Chalmette, LA 70043-5159

Mailing address

125 E Saint Bernard Hwy
Chalmette, LA 70043-5159
Phone (504) 278-1414

Other identifiers 1

IdentifierTypeStateIssuer
1447617MedicaidLA

Other names 1

  • TOTALL ACCESS HEALTH Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051201000011 LA Part B Supplier - Clinic/Group Practice 2365462611 Receives reassigned benefits from 2 practitioners
Practice locations: Chalmette, LA

National Provider Directory

National Provider Directory

Locations

125 E Saint Bernard Hwy
Chalmette, LA 70043
Phone (504) 278-1414

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540944000000",
    "number": "1295790723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E SAINT BERNARD HWY",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700435159",
            "telephone_number": "504-278-1414",
            "fax_number": "504-278-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E SAINT BERNARD HWY",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700435159",
            "telephone_number": "504-278-1414",
            "fax_number": "504-278-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABDOLREZA VADIEE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2018-10-31",
        "deactivation_date": "2018-05-15",
        "reactivation_date": "2018-10-31",
        "status": "A",
        "authorized_official_last_name": "VADIEE",
        "authorized_official_first_name": "ABDOLREZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-278-1414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "LA",
            "license": "023512",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "LA",
            "license": "023512",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447617",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOTALL ACCESS HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chalmette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.