Mohamad Eyad Khorki, MD
Individual provider Active NPI Pediatric Nephrology Physician · New Orleans, LA
NPI 1992167498 · NPPES record last updated May 16, 2025
Key facts
- NPI
- 1992167498
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nephrology Physician 2080P0210X
- License
- 341973 (LA)
- Practice address
- 200 Henry Clay Ave
New Orleans, LA 70118-5720 - Phone
- (504) 899-9511
- NPI assigned
- Mar 23, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Childrens Hospital Medical Practice Corporation
Practice addresses (Care Compare)
200 Henry Clay Ave
New Orleans, LA 70118-5720
Phone (504) 899-9511
Hospital & facility affiliations
- Childrens Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240715001535 | LA | Practitioner - Pediatric Medicine | 4789129768 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 300094 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Lady of the Lake Physician Group LLC | Current |
Accepting new patients | |
| Our Lady of the Lake Physician Group LLC | Pediatrics | Current |
Accepting new patients |
| Childrens Hospital Medical Practice Corporation | Pediatrics | Current |
Accepting new patients |
| Children'S Hospital | Past | Accepting new patients |
Locations
9001 Summa Ave
Ste 342
Baton Rouge, LA 70809
Phone (225) 216-3047
8200 Constantin Blvd
Fl 4
Baton Rouge, LA 70809
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011
5025 Keystone Blvd
Covington, LA 70433
Phone (806) 535-3781
141 Ormond Center Ct
Destrehan, LA 70047
Phone (985) 764-7337
2121 Ridgelake Dr
Fl 2
Metairie, LA 70001
Phone (504) 832-4033
3040 33rd St
Metairie, LA 70001
Phone (504) 219-0880
1100 Poydras St
Ste 2500
New Orleans, LA 70163
Phone (504) 527-9953
200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860
Interoperability endpoints
- mkhorki5332695@direct.casso.us.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 300094 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Nephrology Physician | 2080P0210X | 341973 | LA | Yes |
Addresses
Primary practice location
200 Henry Clay Ave
New Orleans, LA 70118-5720
Mailing address
LCMC Health - Payor Enrollments
1100 Poydras St., Ste. 2500
New Orleans, LA 70163-1397
Phone (504) 527-9953
Other practice location 1
8200 Constantin Blvd Fl 4
Baton Rouge, LA 70809-3481
Phone (225) 765-5500
Other practice location 2
1301 Trumansburg Rd
Ithaca, NY 14850-1397
Phone (513) 620-2240
Other practice location 3
3333 Burnet Ave
ML 5018
Cincinnati, OH 45229-3026
Phone (513) 634-5315
Other providers in New Orleans, LA
- Sabeeta Khatri
- Majd Zeid Khiami
- Nataliya Khimitch
- Diala Khirfan
- Tara Khoobehi
- Jacob Elias Khoury
- Vininder Singh Khunkhun
- Charvi Christine Khurana
- Deepakshi Khurana
- Kidcath, LLC
All providers in New Orleans, LA · Pediatric Nephrology Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.