MAROUN MHANNA MD
NPI 1982634036
Pediatrics - Pediatric Critical Care Medicine in Shreveport, LA

Q: What is Maroun Mhanna's NPI number?

The NPI number for Maroun Mhanna is 1982634036. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Q: What is Maroun Mhanna's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Maroun Mhanna was last updated on December 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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 July 04, 2006PECOS Enrolled

1541 KINGS HWY, SHREVEPORT, LA 71103(318) 626-0000 Get Directions Write a Review

NPPES record last updated: December 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Maroun Mhanna Md NPPES

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

MAROUN MHANNA MD (NPI 1982634036) is an individual pediatric critical care medicine provider in Shreveport, Louisiana, licensed in Louisiana (322403) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982634036

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameMAROUN MHANNACredential: MD

Location Address1541 KINGS HWYShreveport, LA 71103-4228

Mailing Address1512 W Kirby PlShreveport, LA 71103-3822 · (318) 626-0177

Phone(318) 626-0000

Sole ProprietorNo

Enumeration DateJuly 4, 2006

Last NPPES UpdateDecember 14, 2022

NPPES CertifiedDecember 14, 2022

✔ NPI 1982634036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in LA · 322403

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License 322403 (LA)

Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License 322403 (LA)

1541 KINGS HWY, Shreveport, LA 71103

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Other Identifiers 1

Medicaid2121975OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maroun Mhanna Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

PRATIK AGRAWAL

Internal Medicine (Cardiovascular Disease)