Mudar Kattash, MD

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

12869R Issued in LA

Practice address

2005 Southwood Dr
Lake Charles, LA 70605-4139

Phone

(337) 562-2293

Fax

(337) 562-1469

NPI assigned

Dec 7, 2005

Last updated

Jul 13, 2026By the provider in NPPES

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

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 1

Specialty

Pediatric MedicineAlso: Cardiovascular Disease (Cardiology)

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pediatric Cardiology of Southwest Louisiana, LLCGroup PAC ID 9436321189, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mkattash5284422@direct.casso.us.com

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.

• Pediatric Cardiology of Southwest Louisiana, LLC

  • Pediatric Cardiology Physician
  • Lake Charles, LA
  • NPI 1962559740
  Medicare reassignment Care Compare group NPD Authorized official
• Lake Area Physician Services LLC

  • Obstetrics & Gynecology Physician
  • Lake Charles, LA
  • NPI 1770543076

  Pediatric Cardiology

  NPD (past)

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174508741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7788",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70605",
            "telephone_number": "337-562-2293",
            "fax_number": "337-562-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 SOUTHWOOD DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054139",
            "telephone_number": "337-562-2293",
            "fax_number": "337-562-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATTASH",
        "first_name": "MUDAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "LA",
            "license": "12869R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1544493",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie George Karimian, LCSW
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• Bryan Scott Karriker, MD
• Manju Rani Katiyar-Mitchell, RPH
• Kay Dore Counseling Clinic
• Dylan Jeffrey Kay, LOTR
• Lori Kay
• Thomas Kazecki
• Elvira Delbar Kazemyan, MD

• Pediatric Cardiology Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Pediatric Cardiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.