Individual provider Active NPI

Quynh Minh Mai, MD

  • Family Medicine Physician
  • Kenner, LA
National Provider Identifier
1982668190
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
024314 Issued in LA
Practice address
708 W Esplanade Ave
Kenner, LA 70065
Phone
(504) 465-0185
Fax
(504) 467-1528
NPI assigned
Apr 14, 2006
Last updated
Jun 19, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 024314 LA Primary
Family Medicine Physician 207Q00000X 24314 LA

Addresses

Primary practice location

708 W Esplanade Ave
Kenner, LA 70065

Mailing address

705 W Esplanade Ave
Kenner, LA 70065-2867
Phone (504) 465-0185

Other identifiers 1

IdentifierTypeStateIssuer
1448940MedicaidLA

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
I20100317000171 LA Practitioner - Family Practice 2264581800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quynh Mai Clinic LLCGroup PAC ID 2668433806, 2 clinicians

Practice addresses (Care Compare)

1308 Williams Blvd
Kenner, LA 70062-6508
Phone (504) 463-2200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024314LAMDFamily Medicine Physician
24314LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quynh Mai Clinic LLC Family Medicine CurrentSince Aug 1, 2003 Accepting new patients
East Jefferson After Hours, LLC Past Accepting new patients

Locations

705 W Esplanade Ave
Kenner, LA 70065
Phone (504) 465-0185

705 W Esplanade Ave
Ste A
Kenner, LA 70065
Phone (504) 465-0185

708 W Esplanade Ave
Kenner, LA 70065
Phone (504) 461-9660

6621 Westbank Expy
Marrero, LA 70072
Phone (504) 309-7030

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.

Hospital & facility affiliations 6

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434672000000",
    "number": "1982668190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 W ESPLANADE AVE",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652867",
            "telephone_number": "504-465-0185",
            "fax_number": "504-467-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 W ESPLANADE AVE",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "70065",
            "telephone_number": "504-465-0185",
            "fax_number": "504-467-1528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAI",
        "first_name": "QUYNH",
        "middle_name": "MINH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2015-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "024314",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "24314",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1448940",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

Verify at the official NPI Registry.