NPIMap

Individual provider Active NPI

Mohammad Mousa, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Monroe, LA
National Provider Identifier
1841383221
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
12099R Issued in LA
Practice address
3418 Medical Park Dr
Suite 23
Monroe, LA 71203-2376
Phone
(318) 398-9580
NPI assigned
Sep 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 12099R LA Primary

Addresses

Primary practice location

3418 Medical Park Dr
Suite 23
Monroe, LA 71203-2376

Mailing address

PO Box 4766
Monroe, LA 71211-4766
Phone (318) 398-9580

Other identifiers 1

IdentifierTypeStateIssuer
1696595MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050107000004 LA Practitioner - EndocrinologyPractitioner - Internal Medicine 4183682743 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sciometrix IncGroup PAC ID 9335511443, 46 clinicians
Hospital Service District No. 1 of Plaquemines ParishGroup PAC ID 4082715008, 10 clinicians

Practice addresses (Care Compare)

102 Thomas Rd
Suite 113
West Monroe, LA 71291-7365
Phone (318) 460-8080

750 Florida St
Suite 3517
Baton Rouge, LA 70801-1714
Phone (860) 335-5064

8712 Hwy 23
Belle Chasse, LA 70037-2228
Phone (504) 226-2550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
35.01 of 100Reported as individual
Quality
20
Improvement activities
0
Cost
56.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12099RLAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Service District No. 1 of Plaquemines Parish CurrentSince Sep 19, 2024 Accepting new patients
Sciometrix Inc CurrentSince Aug 15, 2023 Accepting new patients
Southern Endocrinology LLC Endocrinology, Diabetes & Metabolism CurrentSince Dec 1, 2018 Accepting new patients
Southern Endocrinology Center Endocrinology, Diabetes & Metabolism Past Accepting new patients
M a Culasso, LLC Past Accepting new patients
Southern Acres Care Center, LP Past Accepting new patients
Riverside Nursing Home, LLC Past Accepting new patients
Inphynet Primary Care Physicians Southeast PC Past Accepting new patients
Sciometrix LLC PastSince Oct 10, 2021 Accepting new patients
Morehouse Parish Hospital Service District 1 Past Accepting new patients

Locations

750 Florida St
#3517
Baton Rouge, LA 70801
Phone (202) 983-1987

750 Florida St
Ste 3517
Baton Rouge, LA 70801

8712 Highway 23
Belle Chasse, LA 70037
Phone (504) 226-2550

3418 Medical Park Dr
Ste 23
Monroe, LA 71203
Phone (318) 388-6050

2111 Justice St
Monroe, LA 71201
Phone (318) 323-5400

7950 Millhaven Rd
Monroe, LA 71203
Phone (318) 388-3200

27136 Highway 23
Port Sulphur, LA 70083
Phone (504) 392-7000

102 Thomas Rd
Ste 113
West Monroe, LA 71291
Phone (318) 322-3535

306 S Washington Ave
Ste 600
Royal Oak, MI 48067

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEACDD/Endpoint/HEACDD
  • Direct secure messaging: mohammad.mousa.1@29430.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Delta Grande Skilled Nursing and RehabilitationMonroe, LA, CCN 195530 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 15, 2023
May 15, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1841383221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4766",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712114766",
            "telephone_number": "318-398-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 MEDICAL PARK DR",
            "address_2": "SUITE 23",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032376",
            "telephone_number": "318-398-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSA",
        "first_name": "MOHAMMAD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "LA",
            "license": "12099R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1696595",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.