NPIMap

Individual provider Active NPI

Zohreh Mancil

  • Foot & Ankle Surgery Podiatrist
  • Slidell, LA
National Provider Identifier
1386197184
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
303118 Issued in LA
Practice address
1150 Robert Blvd Ste 190
Slidell, LA 70458-2064
Phone
(985) 649-0002
Fax
(985) 649-0034
NPI assigned
Jul 27, 2016
Last updated
Jan 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 303118 LA
Foot & Ankle Surgery Podiatrist 213ES0103X 303118 LA Primary

Addresses

Primary practice location

1150 Robert Blvd Ste 190
Slidell, LA 70458-2064

Mailing address

1150 Robert Blvd Ste 190
Slidell, LA 70458-2064
Phone (985) 649-0002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181212000353 LA Practitioner - Podiatry 9537403985 Reassigns benefits to 2 organizations
I20211116002696 MS Practitioner - Podiatry 9537403985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

1001 Gause Blvd
Slidell, LA 70458-2939
Phone (985) 646-5970

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue684
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
303118LAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Aug 17, 2020 Accepting new patients
Ochsner Mississippi, LLC CurrentSince Sep 1, 2021 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Mississippi, LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Aug 17, 2020 Accepting new patients
Slidell Memorial Hospital CurrentSince Dec 31, 2018 Accepting new patients
Ochsner Mississippi, LLC CurrentSince Sep 1, 2021 Accepting new patients
Ochsner Clinic LLC Past Accepting new patients
Slidell Memorial Hospital Past Accepting new patients

Locations

1514 Jefferson Hwy
New Orleans, LA 70121

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

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

1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200

1001 Gause Blvd
#75
Slidell, LA 70458
Phone (985) 280-3609

1120 Robert Blvd
Ste 200
Slidell, LA 70458
Phone (985) 646-2223

1150 Robert Blvd
Ste 190
Slidell, LA 70458
Phone (985) 646-4415

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

2274 Highway 43 S
Picayune, MS 39466
Phone (601) 798-3989

Organizations & group practices 9

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": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1386197184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 ROBERT BLVD STE 190",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582064",
            "telephone_number": "985-649-0002",
            "fax_number": "985-649-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 ROBERT BLVD STE 190",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582064",
            "telephone_number": "985-649-0002",
            "fax_number": "985-649-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCIL",
        "first_name": "ZOHREH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "LA",
            "license": "303118",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "LA",
            "license": "303118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.