Active NPI
Gholam Hossain Ali, MD
- Cardiovascular Disease Physician
- New Orleans, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 14879R
- Practice address
- 1415 Tulane Ave
New Orleans, LA 70112-2600 - Phone
- (504) 988-5152
- Fax
- (504) 988-4237
- NPI assigned
- Sep 1, 2006
- Last updated
- Jan 20, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 14879R | LA | Primary |
Addresses
Primary practice location
1415 Tulane Ave
New Orleans, LA 70112-2600
Mailing address
1430 Tulane Ave
SL-48
New Orleans, LA 70112-2632
Phone (504) 988-5152
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2145274 | Medicaid | LA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14879R | LA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| Metropolitan Medical Specialists LLC | Past | Accepting new patients | |
| Tulane University Medical Group | Past | Accepting new patients | |
| Administrators of the Tulane Education Fund | Past | Accepting new patients |
Locations
2800 Veterans Memorial Blvd
Ste 140
Metairie, LA 70002
Phone (225) 767-0847
4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028
1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300
1415 Tulane Ave
Fl 4
New Orleans, LA 70112
Phone (504) 988-2177
1430 Tulane Ave
#22
New Orleans, LA 70112
1430 Tulane Ave
#48
New Orleans, LA 70112
Phone (504) 588-5132
2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287
7030 Canal Blvd
Ste 100
New Orleans, LA 70124
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GCFJBA
Organizations & group practices 5
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.
-
dba Tulane University Medical Group
- Specialist
- New Orleans, LA
- NPI 1528014164
-
- Specialist
- Hattiesburg, MS
- NPI 1033395298
-
dba Tulane University Medical Group
- Anatomic Pathology & Clinical Pathology Physician
- New Orleans, LA
- NPI 1790354595
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1760872238
-
- Internal Medicine Physician
- Lanham, MD
- NPI 1184853996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327017600000",
"number": "1851493803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 TULANE AVE",
"address_2": "SL-48",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122632",
"telephone_number": "504-988-5152",
"fax_number": "504-988-4237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 TULANE AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122600",
"telephone_number": "504-988-5152",
"fax_number": "504-988-4237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "GHOLAM",
"middle_name": "HOSSAIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2012-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "LA",
"license": "14879R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2145274",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.