Active NPI
Mohammad Reza Parsa, DPM
- Podiatrist
- Madison, MS
National Provider Identifier
1770688558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 80153
- Practice address
- 980 Highway 51
Ste B
Madison, MS 39110 - Phone
- (601) 605-8770
- Fax
- (601) 605-8773
- NPI assigned
- Sep 14, 2006
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 80153 | MS | Primary |
| Foot Surgery Podiatrist | 213ES0131X | 80153 | MS |
Addresses
Primary practice location
980 Highway 51
Ste B
Madison, MS 39110
Mailing address
980 Hwy 51
Suite B
Madison, MS 39110
Phone (601) 605-8770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00122886 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
-
- Primary Podiatric Medicine Podiatrist
- Madison, MS
- NPI 1740309590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1770688558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "980 HWY 51",
"address_2": "SUITE B",
"city": "MADISON",
"state": "MS",
"postal_code": "39110",
"telephone_number": "601-605-8770",
"fax_number": "601-605-8773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "980 HIGHWAY 51",
"address_2": "STE B",
"city": "MADISON",
"state": "MS",
"postal_code": "39110",
"telephone_number": "601-605-8770",
"fax_number": "601-605-8773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARSA",
"first_name": "MOHAMMAD",
"middle_name": "REZA",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MS",
"license": "80153",
"primary": true
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "MS",
"license": "80153",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00122886",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.