Individual provider Active NPI

Mirza Khaleeluddin Baig, MD

  • Family Medicine Physician
  • Jefferson, LA
National Provider Identifier
1346483708
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.205452 Issued in LA
Practice address
1514 Jefferson Hwy
Jefferson, LA 70121-2429
Phone
(504) 842-4000
NPI assigned
Apr 15, 2009
Last updated
Apr 17, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.205452 LA Primary

Addresses

Primary practice location

1514 Jefferson Hwy
Jefferson, LA 70121-2429

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000

Other identifiers 2

IdentifierTypeStateIssuer
00284091MedicaidMS
1964468MedicaidLA

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
I20120808000830 LA Practitioner - Family Practice 8729234620 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians
Belle Chasse Physician Services LLCGroup PAC ID 9335379379, 258 clinicians

Practice addresses (Care Compare)

12895 Hwy 90
Suite H
Luling, LA 70070-2249
Phone (985) 331-9400

2500 Belle Chasse Hwy
Terrytown, LA 70056-7127
Phone (504) 392-3131

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.205452LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Aug 1, 2012 Accepting new patients
Ochsner Clinic LLC CurrentSince Aug 1, 2012 Accepting new patients
Belle Chasse Physician Services LLC CurrentSince Aug 21, 2015 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Mayfair Physician Services, LLC CurrentSince Sep 11, 2021 Accepting new patients
Hospital Service Dist. No. 1 of the Parish of St. Charles, State of la Past Accepting new patients

Locations

17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470

1111 Greengate Dr
Ste B
Covington, LA 70433
Phone (985) 246-2420

5922 W Main St
Ste A
Houma, LA 70360
Phone (985) 262-8015

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

200 W Esplanade Ave
Ofc
Kenner, LA 70065

200 W Esplanade Ave
Ste 210
Kenner, LA 70065
Phone (504) 842-7588

3417 Williams Blvd
Kenner, LA 70065
Phone (504) 461-9660

12895 Highway 90
Ste H
Luling, LA 70070
Phone (985) 331-9400

1849 Barataria Blvd
Ste B
Marrero, LA 70072
Phone (504) 309-5015

2215 Veterans Memorial Blvd
Metairie, LA 70002
Phone (504) 838-3524

111 Allen Toussaint Blvd
Ste C
New Orleans, LA 70124
Phone (504) 286-2001

1514 Jefferson Hwy
New Orleans, LA 70121

4100 Canal St
New Orleans, LA 70119
Phone (504) 218-4853

4605 Magazine St
New Orleans, LA 70115
Phone (504) 883-8111

900 Magazine St
New Orleans, LA 70130
Phone (504) 309-0534

25455 Highway 1
Plaquemine, LA 70764
Phone (225) 754-6870

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

9605 Jefferson Hwy
River Ridge, LA 70123
Phone (504) 738-1604

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157

318 N Canal Blvd
Thibodaux, LA 70301
Phone (985) 446-3276

Interoperability endpoints

  • Direct secure messaging: mbaig98828@direct.ochsner.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1239753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1346483708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIG",
        "first_name": "MIRZA",
        "middle_name": "KHALEELUDDIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-15",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.205452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00284091",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1964468",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, LA

Sources for this page

Verify at the official NPI Registry.