Lighthouse Medical LLC

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

Legal business name

LIGHTHOUSE MEDICAL LLC

Practice address

1800 Irving PL
Shreveport, LA 71101-4608

Phone

(318) 425-4096

NPI assigned

Mar 7, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ahmed Virani, MDNPI 1881081941

Title

Owner

Phone

(832) 858-8058

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ahmed Virani, MD

  • Pulmonary Disease Physician
  • Shreveport, LA
  • NPI 1881081941

  Multi-Specialty

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1023718202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8455 FERN AVE APT 1406",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 IRVING PL",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014608",
            "telephone_number": "318-425-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "VIRANI",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-858-8058",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lighthouse Counseling Agency, LLC
• Lighthouse Ministries Provdier Care Service, Inc,
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• Lighthouse Ministries Provider Care Service, Inc.
• Lighthouse Ministries Provider Care Service, Inc.
• Brenda Joyce Ligon, NURSE PRACTITIONER

• Critical Care Medicine (Internal Medicine) Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Critical Care Medicine (Internal Medicine) Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.