Organization Active NPI

Ilyas Munshi, M.D.

  • Neurological Surgery Physician
  • Lafayette, LA
National Provider Identifier
1558540609
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
14248R Issued in LA
Legal business name
ILYAS MUNSHI, M.D.
Practice address
99 W Martial Ave
Lafayette, LA 70508-6583
Phone
(337) 234-5344
Fax
(337) 234-5311
NPI assigned
Oct 25, 2007
Last updated
May 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Authorized official

Name
Ilyas Munshi, M.D.NPI 1740397306
Title
Owner
Phone
(337) 234-5344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 14248R LA Primary

Addresses

Primary practice location

99 W Martial Ave
Lafayette, LA 70508-6583

Mailing address

99 W Martial Ave
Lafayette, LA 70508-6583
Phone (337) 234-5344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040102000468 LA Part B Supplier - Clinic/Group Practice 9638078231 Receives reassigned benefits from 4 practitioners
Practice locations: Lafayette, LA

National Provider Directory

National Provider Directory

Locations

99 W Martial Ave
Lafayette, LA 70508
Phone (337) 234-5344

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1558540609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 W MARTIAL AVE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086583",
            "telephone_number": "337-234-5344",
            "fax_number": "337-234-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 W MARTIAL AVE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086583",
            "telephone_number": "337-234-5344",
            "fax_number": "337-234-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILYAS MUNSHI, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "MUNSHI",
        "authorized_official_first_name": "ILYAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-234-5344",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "LA",
            "license": "14248R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.