Sahran Al Busaidy, PA – Medical Physician Assistant

Key facts

NPI: 1487405239
Entity type: Individual (NPI type 1)
Primary specialty: Medical Physician Assistant 363AM0700X
License: 345249 (LA)
Practice address: 200 Henry Clay Ave
New Orleans, LA 70118-5798
Phone: (504) 899-9511
NPI assigned: Mar 29, 2024
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Childrens Hospital Medical Practice Corporation Pediatrics Physician · New Orleans, LA · NPI 1821090713

Medicare reassignment Care Compare group LA

Medicare Care Compare profile

Specialty: Physician Assistant
Education: Other, 2024
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Childrens Hospital Medical Practice Corporation (48 clinicians)

Practice addresses (Care Compare)

200 Henry Clay Ave
New Orleans, LA 70118-5720
Phone (504) 899-9511

3040 33Rd St
Metairie, LA 70001-2036
Phone (504) 219-0880

Medicare participation

Medicare fee-for-service enrollment: Enrolled in LA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20250220000670	LA	Practitioner - Physician Assistant	4789104837	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Physician Assistant

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Medical Physician Assistant	363AM0700X	345249	LA	Yes

Addresses

Primary practice location

200 Henry Clay Ave
New Orleans, LA 70118-5798

Mailing address

1100 Poydras
2500 Energy Centre
New Orleans, LA 70163-2500
Phone (504) 527-9953

Other practice location 1

13001 E 17th Pl Rm E7019
Aurora, CO 80045-2570
Phone (303) 724-7963

Other providers in New Orleans, LA

All providers in New Orleans, LA · Medical Physician Assistant in Louisiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.