Active NPI
Kai Christian Ackley, M.D.
- Family Medicine Physician
- Lake Charles, LA
National Provider Identifier
1558065565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 350904
- Practice address
- 4345 Nelson Rd Ste 102
Lake Charles, LA 70605-4183 - Phone
- (337) 480-7999
- NPI assigned
- Mar 27, 2023
- Last updated
- Aug 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 350904 | LA | Primary |
Addresses
Primary practice location
4345 Nelson Rd Ste 102
Lake Charles, LA 70605-4183
Mailing address
4345 Nelson Rd Ste 102
Lake Charles, LA 70605-4183
Phone (337) 480-7999
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230522000822 | LA | Order and Referring Only - Family Practice | 5092171884 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 350904 | LA | MD | Family Medicine Physician |
Interoperability endpoints
- kackley5295891@direct.casso.us.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1558065565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4345 NELSON RD STE 102",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706054183",
"telephone_number": "337-480-7999",
"fax_number": "337-602-6358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4345 NELSON RD STE 102",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706054183",
"telephone_number": "337-480-7999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKLEY",
"first_name": "KAI",
"middle_name": "CHRISTIAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-27",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "350904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
- 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
- Action Potential Physical Therapy - Moss Bluff, LLC
- Action Potential Physical Therapy - Oak Park, LLC
- Action Potential Physical Therapy, Inc.
- Rodney Ledesma Acuna, MD
- Heather Smith Adams, N.P.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.