Individual provider Active NPI

Abdolamir Lehimgar Zadeh, M.D.

  • Nephrology Physician
  • Chalmette, LA
National Provider Identifier
1407859929
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
04209R Issued in LA
Practice address
4020 Paris Rd
Chalmette, LA 70043-1362
Phone
(504) 277-8423
Fax
(504) 888-8730
NPI assigned
May 30, 2005
Last updated
Dec 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 04209R LA Primary

Addresses

Primary practice location

4020 Paris Rd
Chalmette, LA 70043-1362

Mailing address

4424 Conlin St
Ste 2B
Metairie, LA 70006-2147
Phone (504) 888-8717

Other identifiers 4

IdentifierTypeStateIssuer
1183725MedicaidLA
4080165OtherLAAETNA
76869OtherLACOVENTRY
110043311OtherLAMEDICARE RAILROAD

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
I20060807000388 LA Practitioner - NephrologyPractitioner - Internal Medicine 1759275241

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04209RLAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates Current Accepting new patients
Chalmette Dialysis Center Past Accepting new patients

Locations

4424 Conlin St
Ste 2B
Metairie, LA 70006
Phone (504) 888-8717

Interoperability endpoints

  • Direct secure messaging: phys_abdolamire_zadeh_md@yourcarecommunity.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1117411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1407859929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4424 CONLIN ST",
            "address_2": "STE 2B",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062147",
            "telephone_number": "504-888-8717",
            "fax_number": "504-888-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 PARIS RD",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700431362",
            "telephone_number": "504-277-8423",
            "fax_number": "504-888-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZADEH",
        "first_name": "ABDOLAMIR",
        "middle_name": "LEHIMGAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-30",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "04209R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1183725",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4080165",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "76869",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110043311",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chalmette, LA

Sources for this page

Verify at the official NPI Registry.