Active NPI
Asif Nisar MD LLC
- Nephrology Physician
- Lake Charles, LA
National Provider Identifier
1609107465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD.203470
- Legal business name
- ASIF NISAR MD LLC
- Practice address
- 300 18TH Street
Suite 200
Lake Charles, LA 70601-5874 - Phone
- (337) 439-5369
- Fax
- (337) 436-9998
- NPI assigned
- Jan 19, 2010
- Last updated
- May 23, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Asif Nisar, M.D.
- Title
- Officer
- Phone
- (337) 439-5369
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD.203470 | LA | Primary |
Addresses
Primary practice location
300 18TH Street
Suite 200
Lake Charles, LA 70601-5874
Mailing address
300 18TH Street
Suite 200
Lake Charles, LA 70601-5874
Phone (337) 439-5369
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
300 18th St
#200
Lake Charles, LA 70601
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nephrology Physician
- Lake Charles, LA
- NPI 1316911092
-
- Nephrology Physician
- Lake Charles, LA
- NPI 1528053824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306108800000",
"number": "1609107465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 18TH STREET",
"address_2": "SUITE 200",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706015874",
"telephone_number": "337-439-5369",
"fax_number": "337-436-9998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 18TH STREET",
"address_2": "SUITE 200",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706015874",
"telephone_number": "337-439-5369",
"fax_number": "337-436-9998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASIF NISAR MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-19",
"last_updated": "2011-05-23",
"status": "A",
"authorized_official_last_name": "NISAR",
"authorized_official_first_name": "ASIF",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "337-439-5369",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "LA",
"license": "MD.203470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.