Amir Mollaei, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

BP10052602 Issued in TX

Practice address

309 Jackson St
Monroe, LA 71201

Phone

(318) 966-4000

Fax

(318) 966-4856

NPI assigned

Jun 16, 2015

Last updated

Jun 25, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Franklin Parish Hospital Service Dist 1

  dba Franklin Medical Center

  • Rural Acute Care Hospital
  • Winnsboro, LA
  • NPI 1619143120
  NPD
• Franklin Parish Hospital Service Dist 1

  dba Gilbert Health Center

  • Rural Health Clinic/Center
  • Gilbert, LA
  • NPI 1669002002
  NPD
• Island Medical Winnsboro LLC

  • Emergency Medicine Physician
  • Winnsboro, LA
  • NPI 1538515135
  NPD

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1447631353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 JACKSON ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017407",
            "telephone_number": "318-966-4000",
            "fax_number": "318-966-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 JACKSON ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71201",
            "telephone_number": "318-966-4000",
            "fax_number": "318-966-4856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLAEI",
        "first_name": "AMIR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-16",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10052602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobility Scooter Rentals of Louisiana
• Caroline Elizabeth Moeller, PHARMD
• Lakeitha Moffett
• Maria Moffett
• Meagan Moffett, LBA
• Tobe Samuel Momah, MD
• Araceli Mondragon
• Monique's Medical Transportation LLC
• Monroe Addictive Disorder Clinic
• Monroe Addictive Disorders Clinic

• Family Medicine Physician in Monroe, LA
• Providers in Monroe, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.