Abdel Farid Abu Shamat, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

11617R Issued in LA

Practice address

333 Dr Michael Debakey Dr
Suite 140
Lake Charles, LA 70601-5887

Phone

(337) 494-7090

Fax

(337) 494-7040

NPI assigned

Sep 13, 2005

Last updated

Nov 17, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Merit-based Incentive Payment System (MIPS)

Final score

21.77 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

72.57

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aabushamat5287519@direct.casso.us.com
• Direct secure messaging: abdel.abushamat@bmh.send-direct.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.

• The Kidney Clinic LLC

  • Health Service Clinic/Center
  • Lake Charles, LA
  • NPI 1760665129
  NPD Authorized official
• A T Ordinario Jr MD LLC

  • Nephrology Physician
  • Lake Charles, LA
  • NPI 1881870145
  NPD (past)
• Asif Nisar MD LLC

  • Nephrology Physician
  • Lake Charles, LA
  • NPI 1609107465
  NPD (past)

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1528053824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 DR MICHAEL DEBAKEY DR",
            "address_2": "SUITE 140",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015887",
            "telephone_number": "337-494-7090",
            "fax_number": "337-494-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 DR MICHAEL DEBAKEY DR",
            "address_2": "SUITE 140",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015887",
            "telephone_number": "337-494-7090",
            "fax_number": "337-494-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABU SHAMAT",
        "first_name": "ABDEL",
        "middle_name": "FARID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "11617R",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "11617R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679232",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00103040",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cody Michael Abshire, CRNA
• Jude Paul Abshire, MHS
• Laryn B Abshire, LCSW-BACS
• Absolute Medical Supply
• Absolute Medical Supply LLC
• Acadian Holistic Services LLC
• Acadian Home Health Care Services, LLC (Southern Home Health)
• Access Primary Care LLC (Access Primary Care)
• Access Urgent Care Inc
• Kendra P Achord, RPH

• Nephrology Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Nephrology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.