Individual provider Active NPI

Kaveh David Khoobehi, M.D.

  • Neurology Physician
  • Marrero, LA
National Provider Identifier
1477828762
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD.207216 Issued in LA
Practice address
1111 Medical Center Blvd
Suite S750
Marrero, LA 70072-3151
Phone
(504) 340-6976
NPI assigned
Mar 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD.207216 LA Primary

Addresses

Primary practice location

1111 Medical Center Blvd
Suite S750
Marrero, LA 70072-3151

Mailing address

253 Broadway St
New Orleans, LA 70118-3548
Phone (504) 458-1423

Other identifiers 1

IdentifierTypeStateIssuer
2192116MedicaidLA

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
I20160526002450 LA Practitioner - Neurology 9739479015 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Louisiana State University School of Medicine in New Orleans, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Orleans Physician Services IncGroup PAC ID 5294057824, 177 clinicians
East Jefferson Physicians Group LLCGroup PAC ID 4587660402, 211 clinicians

Practice addresses (Care Compare)

1101 Medical Ctr Blvd
Marrero, LA 70072-3147
Phone (504) 349-2427

1101 Medical Ctr Blvd ER
Marrero, LA 70072-3147
Phone (504) 349-1533

1111 Medical Ctr Blvd
Suite S750
Marrero, LA 70072-3197
Phone (504) 340-6976

4200 Houma Blvd
Metairie, LA 70006-2970
Phone (504) 503-6565

4513 Westbank Expressway
Marrero, LA 70072
Phone (504) 349-6360

502 Leontine St
New Orleans, LA 70115-1919
Phone (504) 934-8321

Hospital & facility affiliations

  • West Jefferson Medical Center Hospital, Marrero, LA, CCN 190039
  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176
  • Touro Infirmary Hospital, New Orleans, LA, CCN 190046
  • Tulane Inpatient Rehab Center Inpatient rehabilitation facility, New Orleans, LA, CCN 19T176

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Orleans Physician Services Inc CurrentSince May 1, 2025 Accepting new patients
East Jefferson Physicians Group LLC Neurology CurrentSince Dec 30, 2024 Accepting new patients
Culicchia Neurological Clinic, LLC CurrentSince Jul 1, 2016 Accepting new patients
Metairie Physician Services Inc. Neurology Past Accepting new patients
University Healthcare System, L.C. Past Accepting new patients

Locations

3704 Lapalco Blvd
Harvey, LA 70058
Phone (504) 207-5320

1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511

1111 Medical Center Blvd
Ste S750
Marrero, LA 70072

4228 Houma Blvd
Ste 530
Metairie, LA 70006
Phone (504) 456-8415

3434 Houma Blvd
Ste 300
Metairie, LA 70006
Phone (504) 454-2017

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

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

502 Leontine St
New Orleans, LA 70115
Phone (504) 934-8321

1700 Lindberg Dr
Slidell, LA 70458
Phone (800) 598-7291

Interoperability endpoints

  • Direct secure messaging: kkhoobehi@culicchianeuro1828.srs-direct.com

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1477828762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 BROADWAY ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701183548",
            "telephone_number": "504-458-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "SUITE S750",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723151",
            "telephone_number": "504-340-6976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOOBEHI",
        "first_name": "KAVEH",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-20",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "MD.207216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2192116",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

Verify at the official NPI Registry.