Individual provider Active NPI

Fahad Aftab Khan Lodhi, MD

  • Nephrology Physician
  • Lake Charles, LA
National Provider Identifier
1669968301
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
337877 Issued in LA
Practice address
3021 Lake St
Lake Charles, LA 70601-8383
Phone
(337) 884-7866
NPI assigned
Jul 5, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 337877 LA Primary

Addresses

Primary practice location

3021 Lake St
Lake Charles, LA 70601-8383

Mailing address

3021 Lake St
Lake Charles, LA 70601-8383
Phone (337) 494-7090

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
I20230817002535 LA Practitioner - NephrologyPractitioner - Internal Medicine 4183052293

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Kidney Clinic LLCGroup PAC ID 2062593635, 4 clinicians

Practice addresses (Care Compare)

3021 Lake St
Lake Charles, LA 70601-8383
Phone (337) 494-7090

Hospital & facility affiliations

  • FKC - East Lake Charles Dialysis facility, Lake Charles, LA, CCN 192588
  • FKC - Lake Charles Home Dialysis facility, Lake Charles, LA, CCN 192758
  • Fmcna - Jennings Dialysis facility, Jennings, LA, CCN 192603
  • FKC - Beauregard Parish, LLC Dialysis facility, Deridder, LA, CCN 192756
  • FKC - Calcasieu Parish Dialysis facility, Sulphur, LA, CCN 192748
  • Lake Charles Memorial Hospital Hospital, Lake Charles, LA, CCN 190060
  • Christus Ochsner St Patrick Hospital Hospital, Lake Charles, LA, CCN 190027
  • West Calcasieu Cameron Hospital Hospital, Sulphur, LA, CCN 190013
  • Christus Ochsner Lake Area Hospital Hospital, Lake Charles, LA, CCN 190201
  • Allen Parish Hospital Hospital, Kinder, LA, CCN 190133

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Kidney Clinic LLC Single Specialty CurrentSince Aug 17, 2023 Accepting new patients

Locations

3021 Lake St
Lake Charles, LA 70601
Phone (337) 494-7090

Interoperability endpoints

  • Direct secure messaging: flodhi5281850@direct.casso.us.com

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 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1669968301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 LAKE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018383",
            "telephone_number": "337-494-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 LAKE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018383",
            "telephone_number": "337-884-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LODHI",
        "first_name": "FAHAD",
        "middle_name": "AFTAB KHAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-05",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "337877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.