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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since April 22, 2022PECOS Enrolled
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: August 16, 2026.

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

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, maintains 17 additional practice locations, and is a graduate of Other (2021).

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
Open in Google Maps ↗

Secondary Practice Locations 17

Location 1400 N State Of Franklin RdJohnson City, TN 37604-6035 · Phone (423) 431-6111
Location 2130 W Ravine RdKingsport, TN 37660-3837 · Phone (423) 230-8200 · Fax (423) 230-8224
Location 3103 North St Ste ABristol, VA 24201-3201 · Phone (423) 844-5300 · Fax (423) 844-5310
Location 4127 Health Care DrPennington Gap, VA 24277-2853 · Phone (276) 299-5000
Location 5300 Med Tech PkwyJohnson City, TN 37604-2277 · Phone (423) 302-1000
Location 61990 Holton Ave EBig Stone Gap, VA 24219-3350 · Phone (276) 523-3111
Location 758 Carroll StLebanon, VA 24266-4510 · Phone (276) 883-8000
Location 81 Medical Park BlvdBristol, TN 37620-7430 · Phone (423) 844-1121
Location 91519 Main StSneedville, TN 37869-3657 · Phone (423) 733-5070
Location 102000 Brookside DrKingsport, TN 37660-4627 · Phone (423) 857-7000
Location 11312 Hospital DrClintwood, VA 24228-6786 · Phone (276) 926-0300
Location 12245 Medical Park DrMarion, VA 24354-1100 · Phone (276) 378-1000
Location 1316000 Johnston Memorial DrAbingdon, VA 24211-7659 · Phone (276) 258-1000
Location 141901 S Shady StMountain City, TN 37683-2021 · Phone (423) 727-1103
Location 151501 W Elk AveElizabethton, TN 37643-2874 · Phone (423) 542-1300
Location 161420 Tusculum BlvdGreeneville, TN 37745-4279 · Phone (423) 787-5000
Location 17851 Locust StRogersville, TN 37857-2407 · Phone (423) 921-7000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Iman Fallah is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163993791
PECOS Enrollment IDI20260604003228
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.

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
MUHAMMAD AYUB
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0434
SEFI AHMED JAWADI
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0505
RYAN MORRIS
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-2293
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

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 enrollment system.

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 39 days 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.