Individual provider Active NPI

Khawaja Arsalan Bashir, M.B.,B.S MD

  • Nephrology Physician
  • Alexandria, LA
National Provider Identifier
1902326838
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
333042 Issued in LA
Practice address
201 4TH St Ste 5a
Alexandria, LA 71301-8421
Phone
(318) 483-1961
Fax
(318) 483-1964
NPI assigned
Jun 21, 2017
Last updated
Jul 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 333042 LA Primary
Internal Medicine Physician 207R00000X 333042 LA

Addresses

Primary practice location

201 4TH St Ste 5a
Alexandria, LA 71301-8421

Mailing address

301 4TH St Ste 30105
Alexandria, LA 71301-8420
Phone (318) 483-1961

Other practice location 1

603 W Court St
Winnfield, LA 71483-2633
Phone (318) 483-1961

Other practice location 2

118 South Dr Ste 300
Natchitoches, LA 71457-5037
Phone (318) 483-1961

Other identifiers 1

IdentifierTypeStateIssuer
2597868MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kbashir44245@direct.acumenmd.com

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
I20220907000005 LA Practitioner - NephrologyPractitioner - Internal Medicine 5991189201 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lafayette Kidney Care LLCGroup PAC ID 4082987235, 6 clinicians
Northwest Louisiana Nephrology, LLCGroup PAC ID 7911996509, 24 clinicians

Practice addresses (Care Compare)

118 S Dr
Suite 300
Natchitoches, LA 71457-5037
Phone (318) 483-1961

1800 Buckner St
Suite C120
Shreveport, LA 71101-4453
Phone (318) 227-8899

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Kidney Care LLC Nephrology CurrentSince Sep 1, 2022 Accepting new patients
Rapides Regional Physician Group Specialty Care, LLC PastSince Nov 6, 2012 Accepting new patients

Locations

201 4th St
Ste 5A
Alexandria, LA 71301
Phone (318) 448-1249

301 4th St
Ste 30104
Alexandria, LA 71301

301 4th St
Ste 30105
Alexandria, LA 71301

118 South Dr
Ste 300
Natchitoches, LA 71457
Phone (318) 483-1961

603 W Court St
Winnfield, LA 71483
Phone (318) 483-1961

Interoperability endpoints

  • Direct secure messaging: kbashir44245@direct.acumenmd.com
  • Direct secure messaging: khawaja.bashir@hca4.eclinicaldirectplus.com

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 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1902326838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 4TH ST STE 30105",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018420",
            "telephone_number": "318-483-1961",
            "fax_number": "318-483-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 4TH ST STE 5A",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018421",
            "telephone_number": "318-483-1961",
            "fax_number": "318-483-1964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "603 W Court St",
            "address_purpose": "LOCATION",
            "city": "Winnfield",
            "state": "LA",
            "postal_code": "714832633",
            "country_code": "US",
            "telephone_number": "318-483-1961",
            "fax_number": "318-483-1964",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "118 South Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Natchitoches",
            "state": "LA",
            "postal_code": "714575037",
            "country_code": "US",
            "telephone_number": "318-483-1961",
            "fax_number": "318-483-1964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASHIR",
        "first_name": "KHAWAJA",
        "middle_name": "ARSALAN",
        "credential": "M.B.,B.S   MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-21",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "333042",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "333042",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2597868",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbashir44245@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "201 4th St Ste 5A",
            "city": "Alexandria",
            "state": "LA",
            "country_code": "US",
            "postal_code": "713018421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.