Individual provider Active NPI

Nidal Abi Rafeh, M.D.

  • Interventional Cardiology Physician
  • Hammond, LA
National Provider Identifier
1457506743
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD.205221 Issued in LA
Practice address
15813 Paul Vega MD Dr Ste 403
Hammond, LA 70403-1426
Phone
(985) 230-7350
Fax
(985) 230-7351
NPI assigned
Dec 1, 2008
Last updated
Jul 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD.205221 LA
Interventional Cardiology Physician 207RI0011X MD.205221 LA Primary

Addresses

Primary practice location

15813 Paul Vega MD Dr Ste 403
Hammond, LA 70403-1426

Mailing address

PO Box 2668
Hammond, LA 70404-2668
Phone (985) 230-7350

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
I20120521000064 LA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 2668635137 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Oaks Medical Center LLCGroup PAC ID 2466629522, 317 clinicians

Practice addresses (Care Compare)

15790 Paul Vega MD Dr
Hammond, LA 70403-1434
Phone (985) 230-1683

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting21
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund Specialist CurrentSince Jul 1, 2013 Accepting new patients
North Oaks Physician Group, LLC CurrentSince Jul 1, 2020 Accepting new patients
Administrators of the Tulane Educational Fund Specialist CurrentSince Jul 1, 2013 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Jul 17, 2021 Accepting new patients

Locations

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

15813 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-2663

15813 Paul Vega Md Dr
Ste 200
Hammond, LA 70403
Phone (985) 230-7650

15813 Paul Vega Md Dr
Ste 402
Hammond, LA 70403
Phone (985) 230-7350

15813 Paul Vega Md Dr
Ste 403
Hammond, LA 70403
Phone (985) 230-7350

1900 S Morrison Blvd
Hammond, LA 70403
Phone (985) 230-1682

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1430 Tulane Ave
#48
New Orleans, LA 70112
Phone (504) 588-5132

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

4201 Woodland Dr
New Orleans, LA 70131
Phone (504) 393-4223

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, 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": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1457506743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2668",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704042668",
            "telephone_number": "985-230-7350",
            "fax_number": "985-230-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15813 PAUL VEGA MD DR STE 403",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031426",
            "telephone_number": "985-230-7350",
            "fax_number": "985-230-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABI RAFEH",
        "first_name": "NIDAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-01",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "MD.205221",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "LA",
            "license": "MD.205221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.