Organization Active NPI

Louisiana Kidney Specialists

  • Rural Health Clinic/Center
  • Marksville, LA
National Provider Identifier
1881553394
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
LOUISIANA KIDNEY SPECIALISTS
Practice address
434 E Chestnut St
Marksville, LA 71351-3000
Phone
(318) 704-0001
NPI assigned
Jan 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Khaldoun Soudan, MDNPI 1164411815
Title
President
Phone
(216) 647-3653

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)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

434 E Chestnut St
Marksville, LA 71351-3000

Mailing address

434 E Chestnut St
Marksville, LA 71351-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260522003285 LA Part B Supplier - Clinic/Group Practice 6204304058 Receives reassigned benefits from 3 practitioners
Practice locations: Marksville, LA

National Provider Directory

National Provider Directory

Locations

434 E Chestnut St
Marksville, LA 71351
Phone (318) 253-2299

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1768867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1881553394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 E CHESTNUT ST",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713513000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 E CHESTNUT ST",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713513000",
            "telephone_number": "318-704-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA KIDNEY SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-20",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "SOUDAN",
        "authorized_official_first_name": "KHALDOUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-647-3653",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marksville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.

Verify at the official NPI Registry.