Active NPI
Issam N. Eid, MD
- Otolaryngology Physician
- New Orleans, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 326513
- Practice address
- 1514 Jefferson Hwy
New Orleans, LA 70121-2429 - Phone
- (504) 842-4080
- Fax
- (504) 842-3979
- NPI assigned
- Nov 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 22607 | MS | |
| Otolaryngology Physician | 207Y00000X | MD468919 | PA | |
| Otolaryngology Physician | 207Y00000X | 326513 | LA | Primary |
Addresses
Primary practice location
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Mailing address
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000
Other practice location 1
2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-5160
Other practice location 2
333 Cottman Ave
Philadelphia, PA 19111-2497
Phone (215) 728-6900
Other practice location 3
2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-5160
Other practice location 4
3509 N Broad St
Philadelphia, PA 19140
Phone (844) 570-1767
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09831521 | Medicaid | MS | |
| 172172 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Tulane University School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000
Hospital & facility affiliations
- Ochsner Medical Center Acute
- Ochsner Medical Center - Baton Rouge
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 13 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 326513 | LA | MD | Otolaryngology Physician |
| 22607 | MS | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Temple Faculty Practice Plan, Inc | Current | Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients |
Locations
16777 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 754-3278
17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470
4430 Veterans Memorial Blvd
Metairie, LA 70006
Phone (504) 433-7203
1514 Jefferson Hwy
New Orleans, LA 70121
104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211
333 Cottman Ave
Philadelphia, PA 19111
Phone (215) 728-3893
7604 Central Ave
Philadelphia, PA 19111
Phone (215) 745-3400
3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807
3509 N Broad St
Philadelphia, PA 19140
Phone (215) 707-2433
Interoperability endpoints
- ieid1356312@direct.ochsner.org
Organizations & group practices 6
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.
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1881176949
-
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
- General Practice Physician
- New Orleans, LA
- NPI 1467991067
-
- Urology Physician
- Voorhees, NJ
- NPI 1407638794
-
- Gynecologic Oncology Physician
- Philadelphia, PA
- NPI 1063995710
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1053360651
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635206400000",
"number": "1609057934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 JEFFERSON HWY",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701212429",
"telephone_number": "504-842-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1514 JEFFERSON HWY",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701212429",
"telephone_number": "504-842-4080",
"fax_number": "504-842-3979"
}
],
"practiceLocations": [
{
"address_1": "2500 N State St",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MS",
"postal_code": "392164500",
"country_code": "US",
"telephone_number": "601-984-5160",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "333 Cottman Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191112497",
"country_code": "US",
"telephone_number": "215-728-6900",
"fax_number": "215-728-2773",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2500 N State St",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MS",
"postal_code": "392164500",
"country_code": "US",
"telephone_number": "601-984-5160",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3509 N Broad St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "19140",
"country_code": "US",
"telephone_number": "844-570-1767",
"fax_number": "215-707-6676",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EID",
"first_name": "ISSAM",
"middle_name": "N.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-15",
"last_updated": "2021-10-26",
"certification_date": "2021-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MS",
"license": "22607",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "PA",
"license": "MD468919",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "LA",
"license": "326513",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09831521",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "172172",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.