Individual provider Active NPI

Munira A Yusuf, M.D.

  • Pediatrics Physician
  • Monroe, LA
National Provider Identifier
1386707362
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
15647R Issued in LA
Practice address
1825 N 18TH St
Monroe, LA 71201-4420
Phone
(318) 322-7999
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 15647R LA Primary

Addresses

Primary practice location

1825 N 18TH St
Monroe, LA 71201-4420

Mailing address

PO Box 792
Bastrop, LA 71221-0792
Phone (318) 283-8887

Other identifiers 1

IdentifierTypeStateIssuer
1042056MedicaidLA

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
I20180925003348 LA Practitioner - Pediatric MedicinePractitioner - Family Practice 5799036042 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15647RLAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morehouse Community Medical Centers, Inc. Pediatrics Current Accepting new patients
Morehouse Community Medical Centers, Inc. CurrentSince Aug 5, 2018 Accepting new patients
Morehouse Community Medical Centers, Inc Pediatrics CurrentSince Aug 5, 2018 Accepting new patients
Munira a Yusuf MD Pediatrics Past Accepting new patients

Locations

1001 W Madison Ave
Bastrop, LA 71220
Phone (318) 281-8422

314 N Franklin St
Bastrop, LA 71220
Phone (318) 239-8045

402 Highland Ave
Bastrop, LA 71220
Phone (318) 239-3883

518 Durham St
Bastrop, LA 71220
Phone (318) 556-3333

501 Durham St
Bastrop, LA 71220
Phone (318) 281-2008

4787 Highway 151
Downsville, LA 71234
Phone (985) 805-6068

1126 Marion Hwy
Farmerville, LA 71241
Phone (318) 327-3550

335 Main St
Marion, LA 71260
Phone (318) 292-2795

108 N 16th St
Mer Rouge, LA 71261
Phone (318) 239-8010

681 Highway 594
Monroe, LA 71203
Phone (318) 381-0140

1703 Lamy Ln
Monroe, LA 71201
Phone (318) 322-7999

1825 N 18th St
Monroe, LA 71201
Phone (318) 322-7999

420 Wheelis St
West Monroe, LA 71292
Phone (318) 235-3661

201 Riggs St
West Monroe, LA 71291
Phone (318) 323-3771

100 Price Dr
West Monroe, LA 71292
Phone (318) 325-0973

Interoperability endpoints

  • Direct secure messaging: munira.yusuf.1@11502.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1386707362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 792",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712210792",
            "telephone_number": "318-283-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 N 18TH ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712014420",
            "telephone_number": "318-322-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUSUF",
        "first_name": "MUNIRA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "15647R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1042056",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.