Individual provider Active NPI

Mohamed Ahmed Shama, MD, MSC, MRCS, EBSQ

  • Surgical Oncology Physician
  • New Orleans, LA
National Provider Identifier
1659807972
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
324894 Issued in LA
Practice address
1430 Tulane Ave RM 8510-B
New Orleans, LA 70112-2632
Phone
(409) 978-6447
Fax
(504) 754-7949
NPI assigned
May 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X 324894 LA
Surgical Oncology Physician 2086X0206X 324894 LA Primary

Addresses

Primary practice location

1430 Tulane Ave RM 8510-B
New Orleans, LA 70112-2632

Mailing address

1430 Tulane Ave RM 8510-B
New Orleans, LA 70112-2632
Phone (409) 978-6447

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
I20201119001305 LA Practitioner - Surgical OncologyPractitioner - General Surgery 6901179738 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Surgical OncologyAlso: General Surgery
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Administrators of the Tulane Educational FundGroup PAC ID 0446163760, shared by 3 NPIs, 388 clinicians

Practice addresses (Care Compare)

130 Lakeview Cir
Covington, LA 70433-7512
Phone (985) 892-6858

1415 Tulane Ave
New Orleans, LA 70112-2600
Phone (504) 988-5800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Nov 2, 2020 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Nov 2, 2020 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Nov 2, 2020 Accepting new patients

Locations

7373 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 246-9790

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

130 Lakeview Cir
Covington, LA 70433
Phone (985) 892-6858

4720 S I 10 Service Rd W
Ste 501
Metairie, LA 70001
Phone (504) 456-6701

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

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

1430 Tulane Ave
Rm 8510B
New Orleans, LA 70112
Phone (409) 978-6447

1415 Tulane Ave
Fl 6
New Orleans, LA 70112
Phone (504) 988-5110

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

1430 Tulane Ave
#8622
New Orleans, LA 70112
Phone (504) 988-2306

2000 Canal St
Fl 2
New Orleans, LA 70112
Phone (504) 702-2287

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 5

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": "1493942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1659807972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE RM 8510-B",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "409-978-6447",
            "fax_number": "504-754-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE RM 8510-B",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "409-978-6447",
            "fax_number": "504-754-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMA",
        "first_name": "MOHAMED",
        "middle_name": "AHMED",
        "name_prefix": "Dr.",
        "credential": "MD, MSC, MRCS, EBSQ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-05",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "LA",
            "license": "324894",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "LA",
            "license": "324894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.