NORTHSHORE GASTROENTEROLOGY, LLC
NPI 1114161890
Internal Medicine - Gastroenterology in Mandeville, LA

Active since April 27, 2009
4430 HIGHWAY 22, MANDEVILLE, LA 70471(985) 845-9000(985) 845-9003 Get Directions Write a Review

NPPES record last updated: June 19, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Northshore Gastroenterology, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHSHORE GASTROENTEROLOGY, LLC (NPI 1114161890) is a healthcare organization registered as a gastroenterology in Mandeville, Louisiana and active in the NPI registry since April 2009. The organization lists Hamid Hussain, Owner, as its authorized official.

NPPES Registry Identity

NPI1114161890
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameNORTHSHORE GASTROENTEROLOGY, LLC
Location Address4430 HIGHWAY 22Mandeville, LA 70471-3310
Mailing Address397 Highway 21, Suite 601Madisonville, LA 70447-3407 · (985) 845-9000 · Fax (985) 845-9003
Fax(985) 845-9003
Organization SubpartNo
Authorized OfficialHamid HussainOwner · (985) 845-9000
Enumeration DateApril 27, 2009
Last NPPES UpdateJune 19, 2009
✔ NPI 1114161890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in LA · MD13335R
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
4430 HIGHWAY 22, Mandeville, LA 70471

Other Identifiers 1

Medicare UPIN4A504

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northshore Gastroenterology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateLouisianaEnrollment IDO20090708000054Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Northshore Gastroenterology, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gastroenterology
NPI 1225018989
433 PLAZA ST STE 2A
Bogalusa, LA 70427
(985) 730-7020
✔ PECOS✔ Accepts Medicare30 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northshore Gastroenterology, LLC's NPI number?

The NPI number for Northshore Gastroenterology, LLC is 1114161890. It was assigned to this organization in the NPPES registry on April 27, 2009.

Where is Northshore Gastroenterology, LLC located?

Northshore Gastroenterology, LLC is located at 4430 Highway 22, Mandeville, LA 70471. The listed phone number is (985) 845-9000.

What is Northshore Gastroenterology, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Northshore Gastroenterology, LLC enrolled in Medicare?

Yes. Northshore Gastroenterology, LLC is registered in the Medicare PECOS enrollment system.

When is Northshore Gastroenterology, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Louisiana, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Northshore Gastroenterology, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gastroenterology) reassigns their Medicare billing to Northshore Gastroenterology, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Northshore Gastroenterology, LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Northshore Gastroenterology, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northshore Gastroenterology, LLC was last updated on June 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.