Active NPI
Jamal Ghazi Saqer, MD
- Pediatric Critical Care Medicine Physician
- Lake Charles, LA
National Provider Identifier
1023009784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 12000R
- Practice address
- 2750 Aster St
Lake Charles, LA 70601-8824 - Phone
- (337) 480-8900
- Fax
- (337) 480-8901
- NPI assigned
- Nov 2, 2005
- Last updated
- Jun 21, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | 12000R | LA | Primary |
Addresses
Primary practice location
2750 Aster St
Lake Charles, LA 70601-8824
Mailing address
PO Box 122539 Dept 2539
Dallas, TX 75312-0001
Phone (337) 494-2921
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1694541 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12000R | LA | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Charles Medical Services Family Practice Associates, LLC | Past | Accepting new patients | |
| Southwest Louisiana Hospital Association Inc | Past | Accepting new patients |
Interoperability endpoints
- jsaqer5288168@direct.casso.us.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Family Medicine Specialists
- Family Medicine Physician
- Lake Charles, LA
- NPI 1396926069
-
dba Lake Charles Memorial Hospital
- General Acute Care Hospital
- Lake Charles, LA
- NPI 1972549855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624233600000",
"number": "1023009784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 122539 DEPT 2539",
"city": "DALLAS",
"state": "TX",
"postal_code": "753120001",
"telephone_number": "337-494-2921",
"fax_number": "337-494-6523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 ASTER ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706018824",
"telephone_number": "337-480-8900",
"fax_number": "337-480-8901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAQER",
"first_name": "JAMAL",
"middle_name": "GHAZI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2021-06-21",
"certification_date": "2021-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "LA",
"license": "12000R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1694541",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.