DR. IMRAN SHUJA M.D.
NPI 1922493030
Internal Medicine - Nephrology in Covington, LA

Active since April 06, 2015PECOS EnrolledAccepts Medicare Assignment
217 CHEROKEE ROSE LN, COVINGTON, LA 70433(858) 930-9119(985) 875-7565 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 3, 2023, Nov 7, 2022, Sep 7, 2018 (3 updates tracked since 2018).

About Dr. Imran Shuja M.d. NPPES

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

DR. IMRAN SHUJA M.D. (NPI 1922493030) is an individual nephrology provider in Covington, Louisiana, licensed in Louisiana (309966) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with North Oaks Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1922493030
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. IMRAN SHUJACredential: M.D.
Location Address217 CHEROKEE ROSE LNCovington, LA 70433-7201
Mailing Address217 Cherokee Rose LnCovington, LA 70433-7201 · (985) 893-0911 · Fax (985) 875-7565
Fax(985) 875-7565
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 6, 2015
Last NPPES UpdateAugust 1, 20253 updates tracked since enumeration
NPPES CertifiedAugust 1, 2025
✔ NPI 1922493030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in LA · 309966
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA10398500 (NJ), 309966 (LA)
217 CHEROKEE ROSE LN, Covington, LA 70433

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. Imran Shuja 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 ID8022307560
PECOS Enrollment IDI20190821001962
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

8

Medicare enrollment records show Imran Shuja reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
217 CHEROKEE ROSE LANE
Covington, LA 70433
  • Reassigned Medicare billing, Louisiana enrollment
  • 4 clinicians in this Medicare group
General Acute Care Hospital
1202 S TYLER ST
Covington, LA 70433
  • Reassigned Medicare billing, Louisiana enrollment
  • 183 clinicians in this Medicare group
Multi-Specialty
1200 PINNACLE PKWY STE 3
Covington, LA 70433
  • Reassigned Medicare billing, Louisiana enrollment
  • 22 clinicians in this Medicare group
Nephrology
675 N CAUSEWAY BLVD
Mandeville, LA 70448
  • Reassigned Medicare billing, Louisiana enrollment
  • 2 clinicians in this Medicare group
Hospitalist
15790 PAUL VEGA MD DR
Hammond, LA 70403
  • Reassigned Medicare billing, Louisiana enrollment
  • 58 clinicians in this Medicare group
Urgent Care
708 W ESPLANADE AVE
Kenner, LA 70065
  • Reassigned Medicare billing, Louisiana enrollment
  • Medicare enrollment name: East Jefferson Physicians Group LLC
  • 313 clinicians in this Medicare group
Anatomic Pathology & Clinical Pathology
2000 CANAL ST
New Orleans, LA 70112
  • Reassigned Medicare billing, Louisiana enrollment
  • Medicare enrollment name: Administrators Of The Tulane Educational Fund
  • 851 clinicians in this Medicare group
Nephrology
3525 PRYTANIA ST, SUITE #620
New Orleans, LA 70115
  • Reassigned Medicare billing, Louisiana enrollment
  • 9 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 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
186 services65 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
100 services55 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
93 services88 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
84 services43 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
71 services16 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
70 services44 patients

Hospital Affiliations CMS Care Compare 5

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

North Oaks Medical Center

Acute Care Hospitals · Hammond, LA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190015
Location15790 Paul Vega MD DriveHammond, LA 70403 · Tangipahoa County
Emergency services Birthing friendly

Slidell Memorial Hospital

Acute Care Hospitals · Slidell, LA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190040
Location1001 Gause BlvdSlidell, LA 70458 · St. Tammany County
Emergency services Birthing friendly

St Tammany Parish Hospital

Acute Care Hospitals · Covington, LA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190045
Location1202 S Tyler StreetCovington, LA 70433 · St. Tammany County
Emergency services Birthing friendly

East Jefferson General Hospital

Acute Care Hospitals · Metairie, LA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number190176
Location4200 Houma BlvdMetairie, LA 70006 · Jefferson County
Emergency services Birthing friendly

Avala

Acute Care Hospitals · Covington, LA
OwnershipPhysician
CMS Certification Number190267
Location67252 Industry LaneCovington, LA 70433 · St. Tammany County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70433 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
80%112 patients4/55-star benchmark: 100%
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 3

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

Internal Medicine (Nephrology)
217 CHEROKEE ROSE LN
COVINGTON, LA 70433
Internal Medicine (Nephrology)
217 CHEROKEE ROSE LN
COVINGTON, LA 70433
Nurse Practitioner (Family)
217 CHEROKEE ROSE LN
COVINGTON, LA 70433

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 Imran Shuja's NPI number?

The NPI number for Imran Shuja is 1922493030. It was assigned to this individual provider in the NPPES registry on April 6, 2015.

Where is Imran Shuja located?

Imran Shuja practices at 217 Cherokee Rose Ln, Covington, LA 70433. The listed phone number is (858) 930-9119.

What is Imran Shuja's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Imran Shuja enrolled in Medicare?

Yes. Imran Shuja 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 Imran Shuja's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Imran Shuja reassigns Medicare benefits to 8 organizations: David R Powers MD Apmc (Covington, LA), St. Tammany Parish Hospital Service District No 1 (Covington, LA), Avala Physician Network, LLC (Covington, LA), Louisiana Kidney Clinic, LLC (Mandeville, LA), North Oaks Medical Center, LLC (Hammond, LA) and 3 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 Imran Shuja's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Imran Shuja accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and AmeriHealth Caritas Next and 2 other insurers list Imran Shuja 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 Imran Shuja affiliated with any hospitals?

According to CMS data, Imran Shuja is affiliated with North Oaks Medical Center, Slidell Memorial Hospital, St Tammany Parish Hospital, East Jefferson General Hospital and Avala.

When was this NPI record last updated?

The NPPES record for Imran Shuja was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.