Individual provider Active NPI

Ahmed Ghouse Mohiuddin, M.D.

  • Internal Medicine Physician
  • Metairie, LA
National Provider Identifier
1316264229
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.204724 Issued in LA
Practice address
4315 Houma Blvd Ste 500
Metairie, LA 70006-2942
Phone
(504) 889-5250
NPI assigned
May 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.46952 AL
Internal Medicine Physician 207R00000X 96940 GA
Hospitalist Physician 208M00000X MD.204724 LA
Internal Medicine Physician 207R00000X MD.204724 LA Primary

Addresses

Primary practice location

4315 Houma Blvd Ste 500
Metairie, LA 70006-2942

Mailing address

4300 Houma Blvd
Ste 204
Metairie, LA 70006-2924
Phone (504) 503-6791

Other practice location 1

4800 Chef Menteur Hwy Ste A
New Orleans, LA 70126-5000
Phone (504) 534-1227

Other practice location 2

3065 Dauphin St
Mobile, AL 36606-4040
Phone (251) 271-7017

Other practice location 3

677 Cascade Ave SW
Atlanta, GA 30310-2404
Phone (470) 444-3143

Other practice location 4

2525 Oakwood Ave NW Ste A
Huntsville, AL 35810-4410
Phone (256) 513-5013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, GA, AL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140103001043 LA Practitioner - Internal MedicinePractitioner - Hospitalist 4385872977 Reassigns benefits to 3 organizations
I20230919002415 GA Practitioner - Internal Medicine 4385872977 Reassigns benefits to 1 organization
I20230919002682 AL Practitioner - Internal Medicine 4385872977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical University of South Carolina College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of Alabama, LLCGroup PAC ID 9133538432, 28 clinicians
Oak Street Health Physicians Group of Louisiana LLCGroup PAC ID 6406261387, 26 clinicians

Practice addresses (Care Compare)

1687 Ctr Point Pkwy
Suite 121
Birmingham, AL 35215-5525
Phone (205) 557-7022

3302 15TH St
Suite 100
Tuscaloosa, AL 35401-2732
Phone (205) 558-0877

6521 Airline Dr
Metairie, LA 70003-5113
Phone (504) 534-1226

Hospital & facility affiliations

  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.46952ALMDInternal Medicine Physician
96940GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Nov 1, 2013 Accepting new patients
Oak Street Health Physicians Group of Alabama, LLC Internal Medicine CurrentSince Sep 11, 2023 Accepting new patients
Oak Street Health Physicians Group of Louisiana LLC Internal Medicine CurrentSince Sep 23, 2023 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Nov 1, 2013 Accepting new patients
East Jefferson Physicians Group LLC Internal Medicine CurrentSince Apr 10, 2017 Accepting new patients
Oak Street Health of Georgia PC Internal Medicine CurrentSince Sep 11, 2023 Accepting new patients
Nova Physician Group PLLC PastSince May 7, 2024 Accepting new patients
Osh-in Physicians Group, PC Past Accepting new patients

Locations

1687 Center Point Pkwy
Ste 121
Birmingham, AL 35215
Phone (205) 557-7022

2525 Oakwood Ave NW
Ste A
Huntsville, AL 35810
Phone (256) 513-5013

3065 Dauphin St
Mobile, AL 36606
Phone (251) 271-7017

677 Cascade Ave SW
Atlanta, GA 30310
Phone (470) 444-3143

1825 Rockbridge Rd
Ste 15B
Stone Mtn, GA 30087
Phone (470) 444-3134

5151 Plank Rd
Ste 210
Baton Rouge, LA 70805
Phone (225) 500-7028

4224 Houma Blvd
Ste 520
Metairie, LA 70006
Phone (504) 885-4003

4300 Houma Blvd
Ste 204
Metairie, LA 70006
Phone (504) 503-6791

6521 Airline Dr
Metairie, LA 70003
Phone (504) 534-1226

4315 Houma Blvd
Ste 500
Metairie, LA 70006
Phone (504) 889-5250

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

4300 Houma Blvd
Ste 202
Metairie, LA 70006
Phone (504) 503-6791

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

4800 Chef Menteur Hwy
Ste A
New Orleans, LA 70126
Phone (504) 534-1227

Interoperability endpoints

  • Direct secure messaging: ahmed.mohiuddin@direct.ejgh.org

Organizations & group practices 8

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 4

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": "1272758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1316264229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 HOUMA BLVD",
            "address_2": "STE 204",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062924",
            "telephone_number": "504-503-6791",
            "fax_number": "504-503-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 HOUMA BLVD STE 500",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062942",
            "telephone_number": "504-889-5250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 Chef Menteur Hwy Ste A",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701265000",
            "country_code": "US",
            "telephone_number": "504-534-1227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3065 Dauphin St",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366064040",
            "country_code": "US",
            "telephone_number": "251-271-7017",
            "fax_number": "251-220-5536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "677 Cascade Ave SW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303102404",
            "country_code": "US",
            "telephone_number": "470-444-3143",
            "fax_number": "470-467-7469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2525 Oakwood Ave NW Ste A",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358104410",
            "country_code": "US",
            "telephone_number": "256-513-5013",
            "fax_number": "256-484-5504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHIUDDIN",
        "first_name": "AHMED",
        "middle_name": "GHOUSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-02",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.46952",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "96940",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "LA",
            "license": "MD.204724",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.204724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.