Individual provider Active NPI

Adham Bassam Al Hariri, M.D.

  • Ophthalmology Physician
  • New Orleans, LA
National Provider Identifier
1790994929
Registry record updated Jul 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD.203136 Issued in LA
Practice address
3715 Prytania St
Suite 504
New Orleans, LA 70115-3761
Phone
(504) 895-3223
Fax
(504) 895-3224
NPI assigned
May 22, 2007
Last updated
Jul 7, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD.203136 LA Primary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X MD.203136 LA

Addresses

Primary practice location

3715 Prytania St
Suite 504
New Orleans, LA 70115-3761

Mailing address

3715 Prytania St
Suite 504
New Orleans, LA 70115-3761
Phone (504) 895-3223

Other identifiers 2

IdentifierTypeStateIssuer
1074527MedicaidLA
05771000MedicaidMS

Other names 1

  • Dr. Adham Bassam Al Hariri Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100608000168 LA Practitioner - Ophthalmology 2062542731 Reassigns benefits to 2 organizations
I20150604002489 MS Practitioner - Ophthalmology 2062542731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Worley and Hariri Oculoplastic Surgery LLCGroup PAC ID 6709002892, 2 clinicians

Practice addresses (Care Compare)

3715 Prytania St
Suite 504
New Orleans, LA 70115-3766
Phone (504) 895-3223

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hogan Eye Clinic, P. a. Ophthalmology CurrentSince Apr 1, 2015 Accepting new patients
South Louisiana Medical Associates CurrentSince Jul 12, 2010 Accepting new patients
Worley & Hariri Oculoplastic Surgery LLC Ophthalmic Plastic and Reconstructive Surgery CurrentSince Aug 1, 2014 Accepting new patients
South Louisiana Medical Associates Ophthalmology CurrentSince Jul 12, 2010 Accepting new patients

Locations

10423 Old Hammond Hwy
Ste 1A
Baton Rouge, LA 70816
Phone (504) 895-3223

1990 Industrial Blvd
Houma, LA 70363
Phone (985) 868-9300

3715 Prytania St
Ste 504
New Orleans, LA 70115
Phone (504) 269-6662

351 Cowan Rd
Gulfport, MS 39507
Phone (228) 896-1120

Interoperability endpoints

  • Direct secure messaging: aalhariri11831@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 2

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1790994929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 PRYTANIA ST",
            "address_2": "SUITE 504",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153761",
            "telephone_number": "504-895-3223",
            "fax_number": "504-895-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 PRYTANIA ST",
            "address_2": "SUITE 504",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153761",
            "telephone_number": "504-895-3223",
            "fax_number": "504-895-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL HARIRI",
        "first_name": "ADHAM",
        "middle_name": "BASSAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "MD.203136",
            "primary": true
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "LA",
            "license": "MD.203136",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1074527",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05771000",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADHAM",
            "last_name": "AL HARIRI",
            "middle_name": "BASSAM",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.