Organization Active NPI

The Mai Medicine Group LLC

  • Family Medicine Physician
  • Marrero, LA
National Provider Identifier
1346923919
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THE MAI MEDICINE GROUP LLC
Practice address
6621 Westbank Expy
Marrero, LA 70072-2669
Phone
(504) 309-7030
NPI assigned
Aug 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Authorized official

Name
Vu Mai, MDNPI 1497086755
Title
Owner
Phone
(847) 942-9588

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6621 Westbank Expy
Marrero, LA 70072-2669

Mailing address

3834 Lakeshore Dr
Metairie, LA 70002-1419
Phone (504) 309-7030

Other practice location 1

2525 Canal St
New Orleans, LA 70119-6407
Phone (504) 309-7030

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240425000419 LA Part B Supplier - Clinic/Group Practice 7416397492 Receives reassigned benefits from 2 practitioners
Practice locations: Marrero, LA; New Orleans, LA

National Provider Directory

National Provider Directory

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": "1691625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1346923919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3834 LAKESHORE DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700021419",
            "telephone_number": "504-309-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6621 WESTBANK EXPY",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700722669",
            "telephone_number": "504-309-7030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 Canal St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701196407",
            "country_code": "US",
            "telephone_number": "504-309-7030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE MAI MEDICINE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "MAI",
        "authorized_official_first_name": "VU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-942-9588",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 Aug 10, 2023; 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.