DR. MORTEZA SHAMSNIA MD
NPI 1508811704
Psychiatry & Neurology - Neurology in Metairie, LA
NPI Status: Active since May 24, 2006
Contact Information
2905 KINGMAN ST
METAIRIE, LA
ZIP 70006
Phone: (504) 885-3737
Fax: (504) 885-5507
- Individual
- Male
- Psychiatry & Neurology
- Neurology
- Accepts Insurance
- PECOS Enrolled
About MORTEZA SHAMSNIA
This page provides the complete NPI Profile along with additional information for Morteza Shamsnia, a provider established in Metairie, Louisiana with a medical specialization in Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1508811704 assigned on May 2006. The practitioner's primary taxonomy code is 2084N0400X with license number 07415R (LA). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1508811704
- Provider Name
- DR. MORTEZA SHAMSNIA MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2905 KINGMAN ST METAIRIE, LA 70006
- Location Phone
- (504) 885-3737
- Location Fax
- (504) 885-5507
- Mailing Address
- 2905 KINGMAN ST METAIRIE, LA 70006
- Mailing Phone
- (504) 885-3737
- Mailing Fax
- (504) 885-5507
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-24-2006
- Last Update Date
- 06-04-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Neurology
- Taxonomy Code
- 2084N0400X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 07415R
- License State
- LA
- Taxonomy Description
- A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Max 70/50 $6700 - PPO
- Blue Max 90/70 $1500 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
- Blue Saver 60/40 $6100 - PPO
- Blue Saver 90/70 $3200 - PPO
- Blue POS 60/40 $6500 - POS
- Blue POS 70/50 $4550 - POS
- Blue POS 80/60 $3200 - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 80/60 $1000 - POS
- Signature Blue 80/60 $3200 - POS
- Signature Blue Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - POS
- Signature Blue Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - POS
- Signature Blue Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - POS
- Essential Bronze 6500 - POS
- Essential Gold 1500 - POS
- Freedom Silver 4000 - POS
- Savings Bronze 7700 - POS
- Standard Bronze 7500 - POS
- Standard Gold 1500 - POS
- Standard Silver 5000 - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| B64563 | MEDICARE UPIN (02) | LA | |
| 1368521 | MEDICAID (05) | LA | |
| 53360 | MEDICARE ID-TYPE UNSPECIFIED (04) | LA |
Medicare Participation & PECOS Enrollment Status
Morteza Shamsnia is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE001N)
Filter, disposable, used with positive airway pressure device (HCPCS:A7038)
3 DME suppliers used 13 Medicare Claims 78 Services Paid
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 70006 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $128.88
- Minimum New Patient Price $55.5
- Maximum New Patient Price $170.3
- Average New Patient Copayment $32.22
- Minimum New Patient Copayment $13.87
- Maximum New Patient Copayment $42.57
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $98.35
- Minimum Established Patient Price $17.42
- Maximum Established Patient Price $138.03
- Average Established Patient Copayment $24.58
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $34.5
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 0 | 8 | 8 | 1 | 1 | 7 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 0 | 8 | 16 | 1 | 2 | 7 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 0 + 8 + 1 + 6 + 1 + 2 + 7 + 0 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1508811704 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
ADVANCED NEURODIAGNOSTIC CENTER, INC
Psychiatry & Neurology
(Neurology)
2905 KINGMAN ST
METAIRIE, LA
ZIP 70006
DR. AMY WILCOX VOIGT M.D.
Psychiatry & Neurology
(Neurology)
2905 KINGMAN ST
METAIRIE, LA
ZIP 70006
HEADACHE CENTER OF NEW ORLEANS
Neurological Surgery
2905 KINGMAN ST
METAIRIE, LA
ZIP 70006
MRS. ERIKA MAY BROUSSARD FNP
Nurse Practitioner
(Family)
2905 KINGMAN ST
METAIRIE, LA
ZIP 70006
ADVANCED SLEEP CENTER, INC
Clinic/Center
(Sleep Disorder Diagnostic)
2905 KINGMAN ST
3RD FLOOR, SUITE 3
METAIRIE, LA
ZIP 70006
DR. NELVILLE REEHLMANN M.D.
Orthopaedic Surgery
(Orthopaedic Surgery of the Spine)
2905 KINGMAN ST
METAIRIE, LA
ZIP 70006
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508811704, enumerated as an "individual" on May 24, 2006.
The provider is located at 2905 KINGMAN ST METAIRIE, LA 70006 and the phone number is (504) 885-3737.
Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, HMO. Please consult your insurance carrier or call the provider to verify.
