NPIMap

Individual provider Active NPI

Bassem Arab, MD

  • Nephrology Physician
  • Shreveport, LA
National Provider Identifier
1780116061
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
T2552 Issued in TX
Practice address
1501 Kings Hwy
Internal Medicine
Shreveport, LA 71103-4228
Phone
(318) 626-0434
NPI assigned
Mar 28, 2017
Last updated
Sep 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X T2552 TX Primary

Addresses

Primary practice location

1501 Kings Hwy
Internal Medicine
Shreveport, LA 71103-4228

Mailing address

1501 Kings Hwy
Internal Medicine
Shreveport, LA 71103-4228
Phone (318) 626-0434

Other practice location 1

18707 Hardy Oak Blvd Ste 530
San Antonio, TX 78258-4841
Phone (210) 495-8280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220829000030 TX Practitioner - Internal MedicinePractitioner - Nephrology 3779967567 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

400 Baltimore
San Antonio, TX 78215-1919
Phone (210) 228-0743

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.76 of 100Reported as group
Quality
67.88
Promoting interoperability
87
Improvement activities
40
Cost
78.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T2552TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Antonio Kidney Disease Center Physicians Group, P.L.L.C. Single Specialty CurrentSince Aug 1, 2022 Accepting new patients
Sakdc Surgical Center PLLC CurrentSince Oct 9, 2023 Accepting new patients
San Antonio Kidney Disease Center Physicians Group, P.L.L.C. Nephrology PastSince Jul 3, 2022 Accepting new patients

Locations

18707 Hardy Oak Blvd
Ste 530
San Antonio, TX 78258
Phone (210) 495-8280

400 Baltimore
San Antonio, TX 78215
Phone (210) 222-1424

7114 San Pedro Ave
San Antonio, TX 78216
Phone (210) 342-2233

7142 San Pedro Ave
Ste 120
San Antonio, TX 78216
Phone (210) 481-7453

Interoperability endpoints

  • Direct secure messaging: bassem.arab.p132@direct.lifelinevascular.nextgenshare.com
  • Direct secure messaging: bassem.arab.p56@direct.lifelinevascular.nextgenshare.com
  • Direct secure messaging: bassemarab@sakdc.allscriptsdirect.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1780116061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "address_2": "INTERNAL MEDICINE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-626-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "address_2": "INTERNAL MEDICINE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-626-0434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18707 Hardy Oak Blvd Ste 530",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584841",
            "country_code": "US",
            "telephone_number": "210-495-8280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARAB",
        "first_name": "BASSEM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-28",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "T2552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.