Individual provider Active NPI

Mohammad Imran Naeem, M.D.

  • Psychiatry Physician
  • Mandeville, LA
National Provider Identifier
1811253420
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
304496 Issued in LA
Practice address
4430 Highway 22 Ste B
Mandeville, LA 70471
Phone
(504) 402-6881
Fax
(985) 626-3470
NPI assigned
Apr 9, 2012
Last updated
May 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 304496 LA Primary

Addresses

Primary practice location

4430 Highway 22 Ste B
Mandeville, LA 70471

Mailing address

4430 Highway 22
Mandeville, LA 70471-3310
Phone (985) 626-3470

Other names 1

  • Dr. Mohammad Imran Naeem Professional name

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
I20170608002487 LA Practitioner - Psychiatry 6305123811 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Redimed PsychiatryGroup PAC ID 8123377595, 2 clinicians

Practice addresses (Care Compare)

4430 Hwy 22
Mandeville, LA 70471-3310
Phone (985) 626-3470

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
304496LAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Partners,LLC CurrentSince Aug 14, 2020 Accepting new patients

Locations

60 Louis Prima Dr
#A
Covington, LA 70433
Phone (985) 327-5427

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1811253420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4430 HIGHWAY 22",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713310",
            "telephone_number": "985-626-3470",
            "fax_number": "985-674-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 HIGHWAY 22 STE B",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "70471",
            "telephone_number": "504-402-6881",
            "fax_number": "985-626-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAEEM",
        "first_name": "MOHAMMAD",
        "middle_name": "IMRAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-09",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "304496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOHAMMAD",
            "last_name": "NAEEM",
            "middle_name": "IMRAN",
            "prefix": "DR.",
            "credential": "MOHAMMAD I NAEEM MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mandeville, LA

Sources for this page

Verify at the official NPI Registry.