NPIMap

Individual provider Active NPI

Imran Shuja, M.D.

  • Nephrology Physician
  • Covington, LA
National Provider Identifier
1922493030
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
309966 Issued in LA
Practice address
217 Cherokee Rose LN
Covington, LA 70433-7201
Phone
(858) 930-9119
Fax
(985) 875-7565
NPI assigned
Apr 6, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA10398500 NJ
Internal Medicine Physician 207R00000X 309966 LA
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology Physician 207RN0300X 309966 LA Primary

Addresses

Primary practice location

217 Cherokee Rose LN
Covington, LA 70433-7201

Mailing address

217 Cherokee Rose LN
Covington, LA 70433-7201
Phone (985) 893-0911

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
I20190821001962 LA Practitioner - Internal MedicinePractitioner - NeurologyPractitioner - Nephrology 8022307560 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Tammany Parish Hospital Service District No 1Group PAC ID 0749273761, 162 clinicians
North Oaks Medical Center LLCGroup PAC ID 2466629522, 317 clinicians
David R Powers MD ApmcGroup PAC ID 8729094198, 2 clinicians
Avala Physician Network LLCGroup PAC ID 8527472422, 12 clinicians
Louisiana Kidney Clinic, LLCGroup PAC ID 1052847480, 2 clinicians

Practice addresses (Care Compare)

1202 S Tyler St
Covington, LA 70433-2330
Phone (985) 898-3743

15790 Paul Vega MD Dr
Hammond, LA 70403-1434
Phone (985) 230-3066

170 Greenbrier Blvd
Covington, LA 70433-7233
Phone (985) 893-0911

67252 Industry LN
Covington, LA 70433-8704
Phone (985) 801-0259

675 N Causeway Blvd
Mandeville, LA 70448-4600
Phone (985) 200-3530

Hospital & facility affiliations

  • Fmcna - Slidell Dialysis facility, Slidell, LA, CCN 192693
  • Fmcna - Florida Parish Kidney Ctr Dialysis facility, Hammond, LA, CCN 192505
  • Fmcna - Pontchartrain Kidney Ctr Dialysis facility, Covington, LA, CCN 192544
  • FKC - Tchefuncte River Dialysis facility, Madisonville, LA, CCN 192674
  • St Tammany Parish Hospital Hospital, Covington, LA, CCN 190045
  • North Oaks Medical Center Hospital, Hammond, LA, CCN 190015
  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176
  • Slidell Memorial Hospital Hospital, Slidell, LA, CCN 190040
  • Riverside Medical Center Hospital, Franklinton, LA, CCN 191313
  • P a M Specialty Hospital of Covington Inpatient rehabilitation facility, Covington, LA, CCN 19TA48
  • Covington - a M G Physical Rehabilitation Hospital Inpatient rehabilitation facility, Covington, LA, CCN 193097
  • P a M Specialty Hospital of Covington Long-term care hospital, Covington, LA, CCN 192048

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
309966LAMDInternal Medicine Physician
25MA10398500NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Aug 9, 2022 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Aug 5, 2019 Accepting new patients
Uptown Nephrology Nephrology CurrentSince Jul 18, 2022 Accepting new patients
St. Tammany Parish Hospital Service District No 1 CurrentSince Dec 22, 2024 Accepting new patients
East Jefferson Physicians Group LLC Internal Medicine CurrentSince Jun 15, 2023 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Aug 9, 2022 Accepting new patients
Louisiana Kidney Clinic, LLC Nephrology CurrentSince Oct 4, 2024 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Aug 5, 2019 Accepting new patients
St Tammany Parish Hospital Service District No 1 Internal Medicine CurrentSince Dec 22, 2024 Accepting new patients
Metairie Physician Services Inc. Internal Medicine Past Accepting new patients
North Oaks Medical Center, LLC Past Accepting new patients

Locations

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

67252 Industry Ln
Covington, LA 70433
Phone (985) 801-0259

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

675 N Causeway Blvd
Mandeville, LA 70448
Phone (985) 200-3530

4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

4200 Houma Blvd
Ofc
Metairie, LA 70006

4228 Houma Blvd
Ste 530
Metairie, LA 70006
Phone (504) 456-8415

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

3434 Prytania St
Ste 300
New Orleans, LA 70115
Phone (504) 897-4425

1415 Tulane Ave
Fl 5
New Orleans, LA 70112
Phone (504) 988-1001

Interoperability endpoints

  • Direct secure messaging: ishuja190238@ahs.direct-ci.com
  • Direct secure messaging: ishuja70687@direct.acumenmd.com

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1922493030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 CHEROKEE ROSE LN",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337201",
            "telephone_number": "985-893-0911",
            "fax_number": "985-875-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 CHEROKEE ROSE LN",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337201",
            "telephone_number": "858-930-9119",
            "fax_number": "985-875-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUJA",
        "first_name": "IMRAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-06",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA10398500",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "309966",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "309966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.