Individual provider Active NPI

Rana El Sabbagh, M.D.

  • Nephrology Physician
  • New Iberia, LA
National Provider Identifier
1508259540
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
320667 Issued in LA
Practice address
2308 E Main St Ste E
New Iberia, LA 70560-4029
Phone
(337) 374-7156
Fax
(337) 456-9056
NPI assigned
Mar 16, 2015
Last updated
Jan 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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 320667 LA Primary

Addresses

Primary practice location

2308 E Main St Ste E
New Iberia, LA 70560-4029

Mailing address

309 Travailler Rd
Lafayette, LA 70506-6425
Phone (216) 703-5979

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20191106001260 LA Practitioner - Nephrology 5597097865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iberia Medical Center Physician Practice NetworkGroup PAC ID 3476730847, 20 clinicians

Practice addresses (Care Compare)

New Iberia, LA 70560
Phone (337) 374-7104

2313 E Main St
Suite C
New Iberia, LA 70560-4091
Phone (337) 364-1734

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
320667LAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iberia Medical Center Physician Practice Network Nephrology CurrentSince Nov 3, 2019 Accepting new patients
Hospital Service District No. 1 of Iberia Parish Current Accepting new patients

Locations

2308 E Main St
Ste E
New Iberia, LA 70560
Phone (337) 374-7156

2313 E Main St
Ste C
New Iberia, LA 70560
Phone (337) 364-1734

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/ibermed-05842f36

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1508259540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 TRAVAILLER RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066425",
            "telephone_number": "216-703-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 E MAIN ST STE E",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604029",
            "telephone_number": "337-374-7156",
            "fax_number": "337-456-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL SABBAGH",
        "first_name": "RANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-16",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "320667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

Verify at the official NPI Registry.