NPIMap

Individual provider Active NPI

Raja I Zabaneh, MD,FACP

  • Nephrology Physician
  • Shreveport, LA
National Provider Identifier
1437144052
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
12857R Issued in LA
Practice address
1800 Buckner St
Suite C120
Shreveport, LA 71101-4440
Phone
(318) 227-8899
Fax
(318) 222-0407
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 12857R LA Primary

Addresses

Primary practice location

1800 Buckner St
Suite C120
Shreveport, LA 71101-4440

Mailing address

1800 Buckner St
Suite C120
Shreveport, LA 71101-4440
Phone (318) 227-8899

Other identifiers 5

IdentifierTypeStateIssuer
060876201OtherMEDICAID
390005802OtherRAILROAD MEDICARE
A002OtherCHAMPUS
721404303ZAOtherOCHSNER
1543136MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110222000972 LA Practitioner - NephrologyPractitioner - Internal Medicine 0749296978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Louisiana Nephrology, LLCGroup PAC ID 7911996509, 24 clinicians

Practice addresses (Care Compare)

1800 Buckner St
Shreveport, LA 71101-4453
Phone (318) 227-8899

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.02 of 100Reported as group
Quality
66.64
Promoting interoperability
100
Improvement activities
40
Cost
70.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12857RLAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Louisiana Nephrology, LLC Nephrology CurrentSince Oct 15, 1998 Accepting new patients

Locations

2501 Greenwood Rd
Shreveport, LA 71103
Phone (318) 631-1584

1800 Buckner St
Ste C120
Shreveport, LA 71101
Phone (318) 227-8899

Interoperability endpoints

  • Direct secure messaging: rajazabanehmd@nln.allscriptsdirect.net

Organizations & group practices 1

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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1437144052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BUCKNER ST",
            "address_2": "SUITE C120",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014440",
            "telephone_number": "318-227-8899",
            "fax_number": "318-222-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BUCKNER ST",
            "address_2": "SUITE C120",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014440",
            "telephone_number": "318-227-8899",
            "fax_number": "318-222-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZABANEH",
        "first_name": "RAJA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD,FACP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "12857R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "060876201",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "390005802",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "A002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCHSNER",
            "identifier": "721404303ZA",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1543136",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.