IMAN FALLAH
NPI 1306580766
Psychiatry & Neurology - Psychiatry in Shreveport, LA

Q: What is Iman Fallah's NPI number?

The NPI number for Iman Fallah is 1306580766. It was assigned to this individual provider in the NPPES registry on April 22, 2022.

Q: What is Iman Fallah's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Iman Fallah was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since April 22, 2022PECOS EnrolledAccepts Medicare Assignment

1501 KINGS HWY, SHREVEPORT, LA 71103(318) 626-2445 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 9, 2026, Apr 22, 2022 (2 updates tracked since 2022).

On this page

About Iman Fallah NPPES

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

IMAN FALLAH (NPI 1306580766) is an individual psychiatry provider in Shreveport, Louisiana, licensed in Tennessee (77021) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Johnston Memorial Hospital, and maintains 17 additional practice locations.

NPPES Registry Identity

NPI1306580766

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameIMAN FALLAH

Location Address1501 KINGS HWYShreveport, LA 71103-4228

Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 952-2111

Phone(318) 626-2445

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateApril 22, 2022

Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration

NPPES CertifiedJuly 9, 2026

✔ NPI 1306580766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in TN · 77021✔ Licensed in VA · 0101288863

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1501 KINGS HWY, Shreveport, LA 71103

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Secondary Practice Locations 17

Location 12000 Brookside DrKingsport, TN 37660-4627 · Phone (423) 857-7000

Location 21519 Main StSneedville, TN 37869-3657 · Phone (423) 733-5070

Location 31 Medical Park BlvdBristol, TN 37620-7430 · Phone (423) 844-1121

Location 458 Carroll StLebanon, VA 24266-4510 · Phone (276) 883-8000

Location 51990 Holton Ave EBig Stone Gap, VA 24219-3350 · Phone (276) 523-3111

Location 6300 Med Tech PkwyJohnson City, TN 37604-2277 · Phone (423) 302-1000

Location 7127 Health Care DrPennington Gap, VA 24277-2853 · Phone (276) 299-5000

Location 8103 North St Ste ABristol, VA 24201-3201 · Phone (423) 844-5300 · Fax (423) 844-5310

Location 9130 W Ravine RdKingsport, TN 37660-3837 · Phone (423) 230-8200 · Fax (423) 230-8224

Location 10312 Hospital DrClintwood, VA 24228-6786 · Phone (276) 926-0300

Location 11245 Medical Park DrMarion, VA 24354-1100 · Phone (276) 378-1000

Location 121901 S Shady StMountain City, TN 37683-2021 · Phone (423) 727-1103

Location 1316000 Johnston Memorial DrAbingdon, VA 24211-7659 · Phone (276) 258-1000

Location 14400 N State Of Franklin RdJohnson City, TN 37604-6035 · Phone (423) 431-6111

Location 15851 Locust StRogersville, TN 37857-2407 · Phone (423) 921-7000

Location 161420 Tusculum BlvdGreeneville, TN 37745-4279 · Phone (423) 787-5000

Location 171501 W Elk AveElizabethton, TN 37643-2874 · Phone (423) 542-1300

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

Iman Fallah 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 ID2163993791

PECOS Enrollment IDI20260604003228, I20260615003420

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 Reassignment

Medicare enrollment records show Iman Fallah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wellmont Medical Associates, Inc.

670 mi

Internal Medicine

405 SCENIC DR, SUITE A
Rogersville, TN 37857

Reassigned Medicare billing, Tennessee and Virginia enrollments
Also billed through NPI 1003274994 (Virginia)
861 clinicians in this Medicare group

NPI 1689032575 (423) 921-3490

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

Hospital Affiliations CMS Care Compare

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

Johnston Memorial Hospital

Acute Care Hospitals · Abingdon, VA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490053

Location16000 Johnston Memorial DriveAbingdon, VA 24211 · Washington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71103 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

$164.73 typical visit price

range $53.43 – $164.73

Typical copayment $41.18 (range $13.35 – $41.18)

Most-billed visit code 99205

Established Patient

$67.06 typical visit price

range $16.64 – $133.62

Typical copayment $16.76 (range $4.16 – $33.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

HS LOUISIANA, LLC

General Practice

1501 KINGS HWY, SUITE 5-303
SHREVEPORT, LA 71103

Caddo Parish (904) 834-2679

MUNIRA DAWITH MD

Student in an Organized Health Care Education/Training Program

1501 KINGS HWY, PSYCHIATRY
SHREVEPORT, LA 71103

Caddo Parish (318) 675-6619

SEFI AHMED JAWADI

Student in an Organized Health Care Education/Training Program

1501 KINGS HWY
SHREVEPORT, LA 71103

Caddo Parish (318) 626-0505

LUKE MUIZNIEKS

Student in an Organized Health Care Education/Training Program

1501 KINGS HWY
SHREVEPORT, LA 71103

Caddo Parish (318) 626-1574

KRISTIN BEMBENICK

Student in an Organized Health Care Education/Training Program

1501 KINGS HWY
SHREVEPORT, LA 71103

Caddo Parish (318) 675-5300

CHRISTIAN SCOTT BAKER MD

Student in an Organized Health Care Education/Training Program

1501 KINGS HWY
SHREVEPORT, LA 71103

Caddo Parish (318) 675-5053

BRYCE MILLER DO

Student in an Organized Health Care Education/Training Program

1501 KINGS HWY
SHREVEPORT, LA 71103

Caddo Parish (318) 626-0434

NEERAJ PAVAN REDDY TELUGU

Student in an Organized Health Care Education/Training Program

1501 KINGS HWY
SHREVEPORT, LA 71103

Caddo Parish (318) 626-0434

GELAVIZH KESHTMAND MD

Student in an Organized Health Care Education/Training Program

1501 KINGS HWY
SHREVEPORT, LA 71103

Caddo Parish (318) 675-4900

VENKATESWARA K RAO M.D.,

Internal Medicine (Nephrology)

1501 KINGS HWY, DEPARTMENT OF MEDICINE
SHREVEPORT, LA 71103

Caddo Parish (318) 675-5000

MARCO QUISPE LEVEAU MD

Pediatrics

1501 KINGS HWY, DEPARTMENT OF MEDICINE
SHREVEPORT, LA 71103

Caddo Parish (318) 675-5000

JENNIE MOORE BANGE LOTR

Occupational Therapist

1501 KINGS HWY
SHREVEPORT, LA 71103

Caddo Parish (318) 813-2972

ALANA O BRAGG

Nurse Practitioner (Women's Health)

1501 KINGS HWY, DEPARTMENT OF OB/GYN
SHREVEPORT, LA 71103

Caddo Parish (318) 675-5379

JEFFREY ZHAO MD

Internal Medicine

1501 KINGS HWY
SHREVEPORT, LA 71103

Caddo Parish (318) 675-4147

WAJEEHA TARIQ

Student in an Organized Health Care Education/Training Program

1501 KINGS HWY
SHREVEPORT, LA 71103

Caddo Parish (318) 626-0434

LAVANYA KANNEKANTI

Student in an Organized Health Care Education/Training Program

1501 KINGS HWY
SHREVEPORT, LA 71103

Caddo Parish (318) 626-0434

MASOOMA NASEEM

Student in an Organized Health Care Education/Training Program

1501 KINGS HWY
SHREVEPORT, LA 71103

Caddo Parish (318) 626-0434

ALLISON HULTGREN

Student in an Organized Health Care Education/Training Program

1501 KINGS HWY
SHREVEPORT, LA 71103

Caddo Parish (318) 626-6111

DR. ROBERT WALTER RUTZ MD

Orthopaedic Surgery

1501 KINGS HWY
SHREVEPORT, LA 71103

Caddo Parish (337) 529-6409

DR. ZACHARY WARZYNIAK MD

Student in an Organized Health Care Education/Training Program

1501 KINGS HWY
SHREVEPORT, LA 71103

Caddo Parish (318) 441-1030

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 Iman Fallah's NPI number?

The NPI number for Iman Fallah is 1306580766. It was assigned to this individual provider in the NPPES registry on April 22, 2022.

Where is Iman Fallah located?

Iman Fallah practices at 1501 Kings Hwy, Shreveport, LA 71103. The listed phone number is (318) 626-2445.

What is Iman Fallah's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Iman Fallah enrolled in Medicare?

Yes. Iman Fallah 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 organization bills Medicare for Iman Fallah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Iman Fallah reassigns Medicare benefits to Wellmont Medical Associates, Inc. (Rogersville, TN). The 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 Iman Fallah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Iman Fallah affiliated with any hospitals?

According to CMS data, Iman Fallah is affiliated with Johnston Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Iman Fallah was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.