Ahmad M a Shanableh, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

11385R Issued in LA

Practice address

824 Avenue F
Marrero, LA 70072-1940

Phone

(504) 341-1603

NPI assigned

Mar 14, 2006

Last updated

Mar 31, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• West Jefferson Medical Center Hospital, Marrero, LA, CCN 190039

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Ahmad Shanableh M.D.Inc, a Medical Corporation

  • Internal Medicine Physician
  • Marrero, LA
  • NPI 1558525238
  Medicare reassignment Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• West Jefferson Holdings, LLC

  dba West Jefferson Medical Center

  • General Acute Care Hospital
  • Marrero, LA
  • NPI 1265437644
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1790753945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 AVENUE F",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700721940",
            "telephone_number": "504-341-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 AVENUE F",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700721940",
            "telephone_number": "504-341-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANABLEH",
        "first_name": "AHMAD",
        "middle_name": "M A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "11385R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1662453",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Terry Segura, MD
• Hussein Seklawi
• Laronda Breann Severance
• Christie Sexton
• Shanableh & McSween,M.D.'S,LLC
• Xiaoyun Shang, MD
• Julie Montgomery Shaw
• Malachi G. Sheahan, III III, MD
• Jada Shearry
• Corrine Shelton, LPC

• Internal Medicine Physician in Marrero, LA
• Providers in Marrero, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.