Individual provider Active NPI

Shahraam Kamalpour, MD, FAAD

  • Dermatology Physician
  • Baton Rouge, LA
National Provider Identifier
1740624915
Registry record updated May 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
335013 Issued in LA
Practice address
17050 Medical Center Dr
Baton Rouge, LA 70816-3221
Phone
(225) 754-5117
Fax
(225) 754-5043
NPI assigned
Apr 18, 2013
Last updated
May 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 88329 GA
Dermatology Physician 207N00000X 335013 LA Primary
Dermatology Physician 207N00000X A148600 CA

Addresses

Primary practice location

17050 Medical Center Dr
Baton Rouge, LA 70816-3221

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000

Other practice location 1

2151 S College Dr Ste 105
Santa Maria, CA 93455-1304
Phone (805) 934-1230

Other practice location 2

504 W Pueblo St Ste 102
Santa Barbara, CA 93105-6211
Phone (805) 682-6455

Other practice location 3

103 John Maddox Dr NW
Rome, GA 30165-1419
Phone (706) 235-7711

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
I20230519001197 LA Practitioner - Dermatology 7214237031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Louisiana State University School of Medicine in Shreveport, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

17050 Medical Ctr Dr
Baton Rouge, LA 70816-3221
Phone (225) 754-5300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision72
Removal of tissue1-10
Removal of skin lesions78
Removal of skin cancer339
Removal of nail tissue1-10
Skin biopsy45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A148600CAMDDermatology Physician
88329GAMDDermatology Physician
335013LAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Apr 30, 2023 Accepting new patients
Ochsner Clinic LLC Dermatology CurrentSince Apr 30, 2023 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Carlsbad and Vista Dermatology, Inc. Dermatology PastSince Jul 1, 2017 Accepting new patients

Locations

17050 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 754-5117

900 Ochsner Blvd
Covington, LA 70433
Phone (985) 249-2383

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

63025 Westend Blvd
Slidell, LA 70461
Phone (985) 607-6400

Interoperability endpoints

  • Direct secure messaging: skamalpour1774976@direct.ochsner.org

Organizations & group practices 4

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 1

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": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683331200000",
    "number": "1740624915",
    "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": "17050 MEDICAL CENTER DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708163221",
            "telephone_number": "225-754-5117",
            "fax_number": "225-754-5043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2151 S College Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934551304",
            "country_code": "US",
            "telephone_number": "805-934-1230",
            "fax_number": "805-934-2271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "504 W Pueblo St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931056211",
            "country_code": "US",
            "telephone_number": "805-682-6455",
            "fax_number": "805-687-1482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 John Maddox Dr NW",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "GA",
            "postal_code": "301651419",
            "country_code": "US",
            "telephone_number": "706-235-7711",
            "fax_number": "706-235-9944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMALPOUR",
        "first_name": "SHAHRAAM",
        "name_prefix": "Dr.",
        "credential": "MD, FAAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-18",
        "last_updated": "2023-05-06",
        "certification_date": "2023-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "88329",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "335013",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A148600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.