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DR. SHAFI GHOUSEMOHIDEEN MOHAMED M.D.
NPI 1346434743
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Baton Rouge, LA

Active since August 29, 2007PECOS EnrolledAccepts Medicare Assignment
16777 MEDICAL CENTER DR, BATON ROUGE, LA 70816(225) 754-3278(225) 754-5054 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 28, 2025, Mar 8, 2021, Dec 28, 2020 and 1 more (4 updates tracked since 2020).

About Dr. Shafi Ghousemohideen Mohamed M.d. NPPES

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

DR. SHAFI GHOUSEMOHIDEEN MOHAMED M.D. (NPI 1346434743) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Baton Rouge, Louisiana, licensed in Louisiana (325191) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center - Baton Rouge, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1346434743
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. SHAFI GHOUSEMOHIDEEN MOHAMEDCredential: M.D.
Location Address16777 MEDICAL CENTER DRBaton Rouge, LA 70816-3254
Mailing Address1514 Jefferson HwyNew Orleans, LA 70121-2429 · (504) 842-4000
Phone(225) 754-3278
Fax(225) 754-5054
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateAugust 29, 2007
Last NPPES UpdateMarch 28, 20254 updates tracked since enumeration
NPPES CertifiedMarch 28, 2025
✔ NPI 1346434743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in LA · 325191✔ Licensed in TX · N0992✔ Licensed in FL · ME110494
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgeryTaxonomy 208600000X · License MT188461 (PA), N0992 (TX)
16777 MEDICAL CENTER DR, Baton Rouge, LA 70816
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12401 S 31st StTemple, TX 76508-4663 · Phone (254) 724-2111 · Fax (850) 656-5575
Location 2310 Gaslight BlvdLufkin, TX 75904-3133 · Phone (936) 632-8787

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shafi Ghousemohideen Mohamed M.d. 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 ID1850565441
PECOS Enrollment IDI20161209000034
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Ochsner Medical Center - Baton Rouge

Acute Care Hospitals · Baton Rouge, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190202
Location17000 Medical Center DrBaton Rouge, LA 70816 · E. Baton Rouge County
Emergency services Birthing friendly

Chi St Lukes Health Memorial Lufkin

Acute Care Hospitals · Lufkin, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450211
Location1201 West Frank StreetLufkin, TX 75901 · Angelina County
Emergency services Birthing friendly

Chi St Lukes Health Memorial Livingston

Acute Care Hospitals · Livingston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450395
Location1717 Hwy 59 BypassLivingston, TX 77351 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70816 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.

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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
93%1,017 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%220 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
58%623 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
33%403 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 106 patients
Patients tobacco: 27% · 26 patients
86%106 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
52%623 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
5%623 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
6%623 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. LINDA MAUTERER MCCAULEY M.D.
Internal Medicine
16777 MEDICAL CENTER DR, STE 400
BATON ROUGE, LA 70816
East Baton Rouge Parish (225) 926-7200
MACI BREAUX PETITE APRN, FNP-C
Nurse Practitioner (Family)
16777 MEDICAL CENTER DR
BATON ROUGE, LA 70816
East Baton Rouge Parish (225) 761-5200
YASMIN NICHOLE BENNIE FNP-C
Nurse Practitioner (Family)
16777 MEDICAL CENTER DR
BATON ROUGE, LA 70816
East Baton Rouge Parish (225) 761-5200
JAMIE MCDONALD C.N.M.
Midwife
16777 MEDICAL CENTER DR
BATON ROUGE, LA 70816
East Baton Rouge Parish (225) 761-5239
MRS. PAMELA HAYWARD
Pharmacy Technician
16777 MEDICAL CENTER DR, SUITE 400
BATON ROUGE, LA 70816
East Baton Rouge Parish (225) 952-8708
STANOCOLA EMPLOYEES MEDICAL & HOSPITAL ASSOCIATION, INC
Pharmacy (Clinic Pharmacy)
16777 MEDICAL CENTER DR, SUITE 400
BATON ROUGE, LA 70816
East Baton Rouge Parish (225) 926-7200
COURTNEY ERICKA WILLIAMS FNP
Nurse Practitioner (Family)
16777 MEDICAL CENTER DR
BATON ROUGE, LA 70816
East Baton Rouge Parish (225) 761-5200
KIM KUCHLER DUPRE' R.N.,BSN,CNOR
Registered Nurse
16777 MEDICAL CENTER DR, STE 400
BATON ROUGE, LA 70816
East Baton Rouge Parish (225) 926-7200

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 Shafi Mohamed's NPI number?

The NPI number for Shafi Mohamed is 1346434743. It was assigned to this individual provider in the NPPES registry on August 29, 2007.

Where is Shafi Mohamed located?

Shafi Mohamed practices at 16777 Medical Center Dr, Baton Rouge, LA 70816. The listed phone number is (225) 754-3278.

What is Shafi Mohamed's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Shafi Mohamed enrolled in Medicare?

Yes. Shafi Mohamed 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.

What insurance does Shafi Mohamed accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Shafi Mohamed 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 Shafi Mohamed affiliated with any hospitals?

According to CMS data, Shafi Mohamed is affiliated with Ochsner Medical Center - Baton Rouge, Chi St Lukes Health Memorial Lufkin and Chi St Lukes Health Memorial Livingston.

When was this NPI record last updated?

The NPPES record for Shafi Mohamed was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.