Individual provider Active NPI

Nahla A Dahr, MD

  • Pediatrics Physician
  • Lafayette, LA
National Provider Identifier
1710061361
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
12675R Issued in LA
Practice address
500 Patterson Street
Lafayette, LA 70601
Phone
(337) 769-9451
Fax
(337) 769-9460
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 12675R LA Primary

Addresses

Primary practice location

500 Patterson Street
Lafayette, LA 70601

Mailing address

2000 Opelousas Street
Lake Charles, LA 70601
Phone (337) 439-9983

Other identifiers 1

IdentifierTypeStateIssuer
53960MedicaidLA

Other names 1

  • Nahla Dahr-Malek Other name

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
I20070219000141 LA Practitioner - Pediatric Medicine 6103928387 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12675RLAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lsuhn Billing LLC CurrentSince Nov 25, 2015 Accepting new patients
Lsuhn Billing LLC CurrentSince Nov 25, 2015 Accepting new patients

Locations

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

4600 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 371-3135

4212 W Congress St
Ste 1403
Lafayette, LA 70506
Phone (337) 234-3163

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1710061361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 OPELOUSAS STREET",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70601",
            "telephone_number": "337-439-9983",
            "fax_number": "337-439-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PATTERSON STREET",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70601",
            "telephone_number": "337-769-9451",
            "fax_number": "337-769-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHR",
        "first_name": "NAHLA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "12675R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53960",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAHLA",
            "last_name": "DAHR-MALEK",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.