Individual provider Active NPI

Mohammed Yousuf, M.D.

  • Family Medicine Physician
  • Mandeville, LA
National Provider Identifier
1487686275
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11006R Issued in LA
Practice address
4430 Highway 22
Mandeville, LA 70471-3310
Phone
(985) 626-3470
Fax
(985) 674-5377
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11006R LA Primary

Addresses

Primary practice location

4430 Highway 22
Mandeville, LA 70471-3310

Mailing address

4430 Highway 22
Mandeville, LA 70471-3310
Phone (985) 626-3470

Other identifiers 2

IdentifierTypeStateIssuer
23269OtherLACONTROLLED SUBSTANCE #
1652539MedicaidLA

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
I20051018000205 LA Practitioner - Family PracticePractitioner - Psychiatry 3577589795 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11006RLAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Nov 1, 2017 Accepting new patients
Ochsner Clinic LLC CurrentSince Nov 1, 2017 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
St Tammany Parish Hospital Service District No 1 Past Accepting new patients

Locations

3417 Williams Blvd
Kenner, LA 70065
Phone (504) 461-9660

2215 Veterans Memorial Blvd
Metairie, LA 70002
Phone (504) 838-3524

101 W Robert E Lee Blvd
New Orleans, LA 70124
Phone (504) 282-2203

1514 Jefferson Hwy
New Orleans, LA 70121

101 W Robert E Lee Blvd
Ste 100
New Orleans, LA 70124
Phone (504) 288-3456

231 N Carrollton Ave
Ste B
New Orleans, LA 70119
Phone (504) 218-4853

104 Acadia Park Dr
#9390
Raceland, LA 70394
Phone (225) 336-3100

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

2375 Gause Blvd E
Slidell, LA 70461
Phone (504) 645-9000

1051 Gause Blvd
Ste 280
Slidell, LA 70458
Phone (504) 649-8607

2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1487686275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4430 HIGHWAY 22",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713310",
            "telephone_number": "985-626-3470",
            "fax_number": "985-674-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 HIGHWAY 22",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713310",
            "telephone_number": "985-626-3470",
            "fax_number": "985-674-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSUF",
        "first_name": "MOHAMMED",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "11006R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE #",
            "identifier": "23269",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1652539",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

Verify at the official NPI Registry.