Individual provider Active NPI

Mohamed-Aly Reda Bakeer, M.D.

  • Surgery Physician
  • New Orleans, LA
National Provider Identifier
1629465331
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
326303 Issued in LA
Practice address
1441 Jackson Ave Apt 2B
New Orleans, LA 70130-5771
Phone
(504) 875-8855
NPI assigned
Apr 20, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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
Surgery Physician 208600000X 326303 LA Primary

Addresses

Primary practice location

1441 Jackson Ave Apt 2B
New Orleans, LA 70130-5771

Mailing address

1441 Jackson Ave Apt 2B
New Orleans, LA 70130-5771
Phone (504) 875-8855

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
I20210805001753 LA Practitioner - General Surgery 6305137829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Louisiana State University School of Medicine in New Orleans, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Surgery Clinic of Northeast Louisiana, LLCGroup PAC ID 6901159102, 4 clinicians

Practice addresses (Care Compare)

312 Grammont St
Suite 303
Monroe, LA 71201-7403
Phone (318) 398-2984

Hospital & facility affiliations

  • Fmol Health St Francis Hospital, Monroe, LA, CCN 190125
  • Monroe Surgical Hospital Hospital, Monroe, LA, CCN 190245

Merit-based Incentive Payment System (MIPS)

Final score
91.06 of 100Reported as individual
Quality
75.09
Improvement activities
40
Cost
73.05

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
326303LAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Surgery Clinic of Northeast Louisiana LLC Surgery CurrentSince Aug 1, 2021 Accepting new patients
St Francis Medical Center, Inc Past Accepting new patients
Smso Anesthesia, LLC PastSince Oct 11, 2020 Accepting new patients

Locations

312 Grammont St
Ste 303
Monroe, LA 71201
Phone (318) 322-9882

309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000

Interoperability endpoints

  • Direct secure messaging: mbakeer12565@direct.casso.us.com

Organizations & group practices 3

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 2

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": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1629465331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 JACKSON AVE APT 2B",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701305771",
            "telephone_number": "504-875-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 JACKSON AVE APT 2B",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701305771",
            "telephone_number": "504-875-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKEER",
        "first_name": "MOHAMED-ALY",
        "middle_name": "REDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-20",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "326303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.