NPIMap

Individual provider Active NPI

Niazy Mahmoud Selim, MD, PHD, MBCHB, FACS

  • Surgery Physician
  • Lake Charles, LA
National Provider Identifier
1689789083
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD207592 Issued in LA
Practice address
215 W Prien Lake Rd
Suite a
Lake Charles, LA 70601-8450
Phone
(337) 502-8706
Fax
(337) 210-1271
NPI assigned
Aug 19, 2006
Last updated
Jun 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 31350 KS
Surgery Physician 208600000X E-3815 AR
Surgery Physician 208600000X 2002002474 MO
Surgery Physician 208600000X MD207592 LA Primary

Addresses

Primary practice location

215 W Prien Lake Rd
Suite a
Lake Charles, LA 70601-8450

Mailing address

215 W Prien Lake Rd
Lake Charles, LA 70601-8450
Phone (337) 502-8706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150224000409 LA Practitioner - General SurgeryPractitioner - Gastroenterology 4385673987 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Medical Group PLLCGroup PAC ID 0446296818, 189 clinicians
Louisiana Surgeons of Excellence, LLCGroup PAC ID 1254657950, 2 clinicians
Oakdale Ess LLCGroup PAC ID 7517289713, 26 clinicians

Practice addresses (Care Compare)

2001 Doctors Dr
Springhill, LA 71075-4526
Phone (318) 539-1000

215 W Prien Lake Rd
Lake Charles, LA 70601-8450
Phone (337) 502-8706

900 Johnson St
Tallulah, LA 71282-4537
Phone (318) 574-2374

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Colonoscopy36
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux61
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-3815ARMDSurgery Physician
31350KSMDSurgery Physician
MD207592LAMDSurgery Physician
2002002474MOMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union General Hospital, Inc Single Specialty CurrentSince Jun 1, 2025 Accepting new patients
Concord Medical Group PLLC Single Specialty CurrentSince Jun 1, 2024 Accepting new patients
Selim Surgery Center, LLC Current Accepting new patients
South Central Physicians PLLC Single Specialty CurrentSince Sep 1, 2024 Accepting new patients
Louisiana Surgeons of Excellence, LLC Single Specialty CurrentSince Jan 15, 2015 Accepting new patients
Oakdale Ess LLC Single Specialty CurrentSince Jul 21, 2025 Accepting new patients
Concord Medical Group of Texas PLLC Single Specialty CurrentSince Jun 1, 2024 Accepting new patients
Union General Hospital CurrentSince Jun 1, 2025 Accepting new patients
Concord North Texas, PLLC Single Specialty CurrentSince Jun 1, 2024 Accepting new patients
Imperial Health LLP Past Accepting new patients

Locations

323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

901 James Ave
Farmerville, LA 71241
Phone (318) 210-9020

165 Beech Springs Rd
Jonesboro, LA 71251
Phone (318) 259-4435

215 W Prien Lake Rd
Lake Charles, LA 70601
Phone (337) 477-9019

215 W Prien Lake Rd
Ste A
Lake Charles, LA 70601
Phone (337) 502-8706

1015 W Fertitta Blvd
Leesville, LA 71446
Phone (337) 239-2207

207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109

2001 Doctors Dr
Springhill, LA 71075
Phone (318) 539-1000

900 Johnson St
Tallulah, LA 71282
Phone (318) 395-2241

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15675/brand/1/csg/1/fhir/r4
  • Direct secure messaging: niazy.selim.1@15675.direct.athenahealth.com

Organizations & group practices 10

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.

Hospital & facility affiliations 10

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1689789083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W PRIEN LAKE RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018450",
            "telephone_number": "337-502-8706",
            "fax_number": "337-210-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W PRIEN LAKE RD",
            "address_2": "SUITE A",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018450",
            "telephone_number": "337-502-8706",
            "fax_number": "337-210-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELIM",
        "first_name": "NIAZY",
        "middle_name": "MAHMOUD",
        "name_prefix": "Dr.",
        "credential": "MD, PHD, MBCHB, FACS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "31350",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "E-3815",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2002002474",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "MD207592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.