Individual provider Active NPI

Morteza Shamsnia, MD

  • Neurology Physician
  • Metairie, LA
National Provider Identifier
1508811704
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
07415R Issued in LA
Practice address
2905 Kingman St
Metairie, LA 70006-6615
Phone
(504) 885-3737
Fax
(504) 885-5507
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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 07415R LA Primary

Addresses

Primary practice location

2905 Kingman St
Metairie, LA 70006-6615

Mailing address

2905 Kingman St
Metairie, LA 70006-6615
Phone (504) 885-3737

Other identifiers 1

IdentifierTypeStateIssuer
1368521MedicaidLA

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
I20060103000452 LA Practitioner - Neurology 7012959521 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
07415RLAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Standup Open MRI Centers of la, LLC Current Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Jan 20, 2011 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Jul 1, 1987 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Jul 1, 1987 Accepting new patients
Children'S Multi-Specialty Group LLC Past Accepting new patients

Locations

433 Plaza St
Bogalusa, LA 70427
Phone (985) 730-6700

101 Judge Tanner Blvd
Ste 402
Covington, LA 70433
Phone (985) 892-8959

71211 Highway 21
Ste B
Covington, LA 70433
Phone (985) 893-9922

4704 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-5920

1450 Poydras St
New Orleans, LA 70112
Phone (504) 903-2373

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

1415 Tulane Ave
Fl 5
New Orleans, LA 70112
Phone (504) 988-1001

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FFEJAD/Endpoint/FFEJAD

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.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212537600000",
    "number": "1508811704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 KINGMAN ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700066615",
            "telephone_number": "504-885-3737",
            "fax_number": "504-885-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 KINGMAN ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700066615",
            "telephone_number": "504-885-3737",
            "fax_number": "504-885-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMSNIA",
        "first_name": "MORTEZA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "07415R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1368521",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.