Khaldoun Soudan, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

204504 Issued in LA

Practice address

2220 Worley Dr
Alexandria, LA 71301-3600

Phone

(318) 704-0001

Fax

(318) 704-0002

NPI assigned

Oct 17, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA, MS2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nephrology

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cenla Kidney Specialists LLCGroup PAC ID 0042543035, 7 clinicians

Hospital Service District 2 of Lasalle ParishGroup PAC ID 3971596164, shared by 3 NPIs, 13 clinicians

CLHG-Winn, LLCGroup PAC ID 6002198736, shared by 5 NPIs, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fmcna - South Alexandria Dialysis facility, Alexandria, LA, CCN 192614
• Fmcna - Pineville Dialysis facility, Pineville, LA, CCN 192577
• FKC Adams County Home Dialysis facility, Natchez, MS, CCN 252593
• Fmcna - Ferriday Dialysis facility, Vidalia, LA, CCN 192563
• FKC - Central Louisiana Dialysis facility, Alexandria, LA, CCN 192733
• Christus St Frances Cabrini Hospital Hospital, Alexandria, LA, CCN 190019
• Rapides Regional Medical Center Hospital, Alexandria, LA, CCN 190026
• Oakdale Community Hospital Hospital, Oakdale, LA, CCN 190106
• Avoyelles Hospital Hospital, Marksville, LA, CCN 190099
• Lasalle General Hospital Hospital, Jena, LA, CCN 190145

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: khaldoun.soudan.1@29237.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/AGIHBD
• Direct secure messaging: khaldoun.soudan.1@25133.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cenla Kidney Specialists LLC

  • Nephrology Physician
  • Alexandria, LA
  • NPI 1114489929

  LA, MS, Nephrology

  Medicare reassignment Care Compare group NPD
• Louisiana Kidney Specialists

  • Rural Health Clinic/Center
  • Marksville, LA
  • NPI 1881553394

  LA

  Medicare reassignment NPD Authorized official
• Allegiance Hospital of Many, LLC

  • General Acute Care Hospital
  • Many, LA
  • NPI 1568626273

  LA

  Medicare reassignment NPD
• CLHG-Winn, LLC

  • Family Medicine Physician
  • Winnfield, LA
  • NPI 1629391628

  LA

  Medicare reassignment NPD
• Franklin Parish Hospital Service Dist 1

  • Rural Acute Care Hospital
  • Winnsboro, LA
  • NPI 1619143120

  LA

  Medicare reassignment NPD
• Allegiance Hospital of Many, LLC

  • Rural Health Clinic/Center
  • Many, LA
  • NPI 1275010712
  NPD
• Allegiance Hospital of Many,LLC

  • Family Medicine Physician
  • Robeline, LA
  • NPI 1043078199
  NPD
• CLHG-Winn LLC

  • Rural Health Clinic/Center
  • Winnfield, LA
  • NPI 1467055442
  NPD
• Franklin Parish Hospital Service Dist 1

  • Rural Health Clinic/Center
  • Gilbert, LA
  • NPI 1669002002
  NPD
• Cenla Dialysis Care LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Jena, LA
  • NPI 1871184432

  Nephrology

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bio-Medical Applications of Louisiana, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Pineville, LA
  • NPI 1255443081

  Dialysis facility

  Care Compare affiliation Name & address match
• Bio-Medical Applications of Louisiana, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Alexandria, LA
  • NPI 1386746766

  Dialysis facility

  Care Compare affiliation Name & address match
• Bio-Medical Applications of Louisiana, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Alexandria, LA
  • NPI 1588013940

  Dialysis facility

  Care Compare affiliation Name & address match
• RCG Mississippi, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Vidalia, LA
  • NPI 1528170370

  Dialysis facility

  Care Compare affiliation Name & address match
• Fresenius Medical Care Adams County Home, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Natchez, MS
  • NPI 1669944120

  Dialysis facility

  Care Compare affiliation Name & address match
• Christus Health Central Louisiana

  • Student Health Clinic/Center
  • Pollock, LA
  • NPI 1013037431

  Hospital

  Care Compare affiliation
• Christus Health Central Louisiana

  • Student Health Clinic/Center
  • Pineville, LA
  • NPI 1023139458

  Hospital

  Care Compare affiliation
• Christus Health Central Louisiana

  • Student Health Clinic/Center
  • Pineville, LA
  • NPI 1093836421

  Hospital

  Care Compare affiliation
• Christus Health Central Louisiana

  • Student Health Clinic/Center
  • Provencal, LA
  • NPI 1164687307

  Hospital

  Care Compare affiliation
• Christus Health Central Louisiana

  • Student Health Clinic/Center
  • Mansura, LA
  • NPI 1225157050

  Hospital

  Care Compare affiliation
• Christus Health Central Louisiana

  • Student Health Clinic/Center
  • Deville, LA
  • NPI 1285755611

  Hospital

  Care Compare affiliation
• Christus Health Central Louisiana

  • Student Health Clinic/Center
  • Natchitoches, LA
  • NPI 1356462782

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1164411815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 WORLEY DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013600",
            "telephone_number": "318-704-0001",
            "fax_number": "318-704-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 WORLEY DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013600",
            "telephone_number": "318-704-0001",
            "fax_number": "318-704-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUDAN",
        "first_name": "KHALDOUN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "204504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2151665",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Southern Home Care Services, Inc
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• Southern Magnolia Dentistry, LLC
• Southern Medical Staffing, LLC

• Nephrology Physician in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Nephrology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.