Individual provider Active NPI

Vu Minh Mai, M.D.

  • Family Medicine Physician
  • Marrero, LA
National Provider Identifier
1497086755
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.206347 Issued in LA
Practice address
6621 Westbank Expy
Marrero, LA 70072-2669
Phone
(504) 309-7030
Fax
(504) 309-7035
NPI assigned
Jan 26, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X LA
Family Medicine Physician 207Q00000X MD.206347 LA Primary

Addresses

Primary practice location

6621 Westbank Expy
Marrero, LA 70072-2669

Mailing address

6621 Westbank Expy
Marrero, LA 70072-2669
Phone (504) 309-7030

Other identifiers 2

IdentifierTypeStateIssuer
2111850MedicaidLA
09408075MedicaidMS

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
I20130925000361 LA Practitioner - Family Practice 1951545326 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Superior Medicine Group LLCGroup PAC ID 6901036243, 2 clinicians

Practice addresses (Care Compare)

2525 Canal St
New Orleans, LA 70119-6407
Phone (504) 309-7030

6621 Westbank Expressway
Marrero, LA 70072-2669
Phone (504) 309-7030

Hospital & facility affiliations

  • West Jefferson Medical Center Hospital, Marrero, LA, CCN 190039

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.206347LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Mai Medicine Group LLC Family Medicine CurrentSince Nov 4, 2023 Accepting new patients

Locations

6621 Westbank Expy
Marrero, LA 70072
Phone (504) 309-7030

2525 Canal St
New Orleans, LA 70119
Phone (504) 309-7030

Organizations & group practices 2

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 1

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": "1264464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1497086755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6621 WESTBANK EXPY",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700722669",
            "telephone_number": "504-309-7030",
            "fax_number": "504-309-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6621 WESTBANK EXPY",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700722669",
            "telephone_number": "504-309-7030",
            "fax_number": "504-309-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAI",
        "first_name": "VU",
        "middle_name": "MINH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-26",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.206347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2111850",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09408075",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

Verify at the official NPI Registry.