Individual provider Active NPI

Mukti Patel

  • Family Nurse Practitioner
  • Hammond, LA
National Provider Identifier
1619672540
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
229483 Issued in LA
Practice address
17170 S I 12 Service Rd
Hammond, LA 70403-2408
Phone
(985) 375-1111
NPI assigned
Mar 31, 2023
Last updated
Aug 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 229483 LA Primary

Addresses

Primary practice location

17170 S I 12 Service Rd
Hammond, LA 70403-2408

Mailing address

17170 S I 12 Service Rd
Hammond, LA 70403-2408

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231004000118 LA Practitioner - Nurse Practitioner 6608220058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northshore Eye Associates LLCGroup PAC ID 4385687128, 5 clinicians

Practice addresses (Care Compare)

17170 S I 12 Service Rd
Hammond, LA 70403-2408
Phone (985) 375-1111

Merit-based Incentive Payment System (MIPS)

Final score
83.96 of 100Reported as group
Quality
75.88
Improvement activities
40
Cost
78.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northshore Eye Associates LLC CurrentSince Sep 1, 2023 Accepting new patients
La Optical, LLC Past Accepting new patients

Locations

17170 S I 12 Service Rd
Hammond, LA 70403
Phone (985) 375-1111

1011 N Causeway Blvd
Ste 1
Mandeville, LA 70471
Phone (985) 269-7083

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1619672540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17170 S I 12 SERVICE RD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704032408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17170 S I 12 SERVICE RD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704032408",
            "telephone_number": "985-375-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MUKTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "229483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.