Active NPI
Integrity Health Provider
- Internal Medicine Physician
- Shreveport, LA
National Provider Identifier
1831979442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- INTEGRITY HEALTH PROVIDER
- Practice address
- 9111 Linwood Ave
Shreveport, LA 71106-6509 - Phone
- (318) 773-4903
- NPI assigned
- Oct 2, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peyman Roohani, MD
- Title
- Owner
- Phone
- (318) 773-4903
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
9111 Linwood Ave
Shreveport, LA 71106-6509
Mailing address
PO Box 53158
Shreveport, LA 71135-3158
Phone (318) 773-4903
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231214003910 | LA | Part B Supplier - Clinic/Group Practice | 4183073190 |
Receives reassigned benefits from 1 practitioner Practice locations: Shreveport, LA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696550400000",
"number": "1831979442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 53158",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711353158",
"telephone_number": "318-773-4903",
"fax_number": "318-747-9994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9111 LINWOOD AVE",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711066509",
"telephone_number": "318-773-4903"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRITY HEALTH PROVIDER",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-02",
"last_updated": "2023-10-06",
"certification_date": "2023-10-06",
"status": "A",
"authorized_official_last_name": "ROOHANI",
"authorized_official_first_name": "PEYMAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "318-773-4903",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.