DR. TANVEER HAIDER MUGHAL MD
NPI 1134410053
Emergency Medicine in Baton Rouge, LA

Active since April 26, 2011PECOS EnrolledAccepts Medicare Assignment
93.01/100
CMS Quality Rating
3801 NORTH BLVD, BATON ROUGE, LA 70806(225) 387-7899(225) 381-2579 Get Directions Write a Review

NPPES record last updated: October 6, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Tanveer Haider Mughal Md NPPES

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

DR. TANVEER HAIDER MUGHAL MD (NPI 1134410053) is an individual emergency medicine provider in Baton Rouge, Louisiana, licensed in Louisiana (MD.207067) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Citizens Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1134410053
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. TANVEER HAIDER MUGHALCredential: MD
Location Address3801 NORTH BLVDBaton Rouge, LA 70806-3825
Mailing Address3801 North BlvdBaton Rouge, LA 70806-3825 · (225) 387-7899 · Fax (225) 381-2579
Fax(225) 381-2579
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateApril 26, 2011
Last NPPES UpdateOctober 6, 2015
✔ NPI 1134410053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in LA · MD.207067
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License MD.207067 (LA)
3801 NORTH BLVD, Baton Rouge, LA 70806

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Tanveer Haider Mughal Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789805441
PECOS Enrollment IDI20160506000976
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

13

Medicare enrollment records show Tanveer Mughal reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medical Services
2450 SEVERN AVE STE 205
Metairie, LA 70001
  • Reassigned Medicare billing, Louisiana enrollment
  • 176 clinicians in this Medicare group
Emergency Medicine
3501 HIGHWAY 190
Eunice, LA 70535
  • Reassigned Medicare billing, Louisiana enrollment
  • 76 clinicians in this Medicare group
Emergency Medicine
1305 CROWLEY RAYNE HWY
Crowley, LA 70526
  • Reassigned Medicare billing, Louisiana enrollment
  • 68 clinicians in this Medicare group
Emergency Medicine
211 4TH ST
Alexandria, LA 71301
  • Reassigned Medicare billing, Louisiana enrollment
  • 178 clinicians in this Medicare group
Emergency Medicine
1275 MARVIN HANCOCK DR
Jasper, TX 75951
  • Reassigned Medicare billing, Texas enrollment
  • 133 clinicians in this Medicare group
Emergency Medicine
2830 CALDER ST
Beaumont, TX 77702
  • Reassigned Medicare billing, Texas enrollment
  • 160 clinicians in this Medicare group
Emergency Medicine
1204 N MOUND ST
Nacogdoches, TX 75961
  • Reassigned Medicare billing, Texas enrollment
  • 54 clinicians in this Medicare group
Emergency Medicine
4500 E SAM HOUSTON PKWY S
Pasadena, TX 77505
  • Reassigned Medicare billing, Texas enrollment
  • 644 clinicians in this Medicare group
Emergency Medicine
2701 HOSPITAL DR
Victoria, TX 77901
  • Reassigned Medicare billing, Texas enrollment
  • 96 clinicians in this Medicare group
Emergency Medicine
1114 SPENCER ST
Allen, TX 75013
  • Reassigned Medicare billing, Texas enrollment
  • 128 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
556 services519 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
279 services262 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
209 services189 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
187 services181 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
17 services17 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
15 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Citizens Medical Center

Acute Care Hospitals · Victoria, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450023
Location2701 Hospital DriveVictoria, TX 77901 · Victoria County
Emergency services Birthing friendly

Christus Southeast Texas- St Elizabeth

Acute Care Hospitals · Beaumont, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450034
Location2830 Calder AvenueBeaumont, TX 77702 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70806 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.03
Improvement Activities40
Cost80.69

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
3801 NORTH BLVD
BATON ROUGE, LA 70806
Family Medicine (Sports Medicine)
3801 NORTH BLVD
BATON ROUGE, LA 70806
Social Worker (Clinical)
3801 NORTH BLVD
BATON ROUGE, LA 70806
Social Worker (Clinical)
3801 NORTH BLVD
BATON ROUGE, LA 70806
Family Medicine
3801 NORTH BLVD
BATON ROUGE, LA 70806
Family Medicine
3801 NORTH BLVD
BATON ROUGE, LA 70806
Counselor (Professional)
3801 NORTH BLVD
BATON ROUGE, LA 70806
Family Medicine
3801 NORTH BLVD
BATON ROUGE, LA 70806

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 Tanveer Mughal's NPI number?

The NPI number for Tanveer Mughal is 1134410053. It was assigned to this individual provider in the NPPES registry on April 26, 2011.

Where is Tanveer Mughal located?

Tanveer Mughal practices at 3801 North Blvd, Baton Rouge, LA 70806. The listed phone number is (225) 387-7899.

What is Tanveer Mughal's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Tanveer Mughal enrolled in Medicare?

Yes. Tanveer Mughal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Tanveer Mughal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tanveer Mughal reassigns Medicare benefits to 13 organizations: C & M Medical Services, Inc. (Metairie, LA), Eunice Emergency Group LLC (Eunice, LA), Crowley Emergency Group LLC (Crowley, LA), Acs Primary Care Physicians Louisiana PC (Alexandria, LA), Jasper Emergency Physicians, PLLC (Jasper, TX) and 8 more organizations, listed in the Medicare section above. Each 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 Tanveer Mughal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tanveer Mughal accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, HMO Louisiana, Oscar Health and Oscar Health Maintenance Organization of Florida and 1 other insurer list Tanveer Mughal 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.

Is Tanveer Mughal affiliated with any hospitals?

According to CMS data, Tanveer Mughal is affiliated with Citizens Medical Center and Christus Southeast Texas- St Elizabeth.

When was this NPI record last updated?

The NPPES record for Tanveer Mughal was last updated on October 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.