NPIMap

Organization Active NPI

Louisiana Kidney Clinic, LLC

Doing business as Imran Muhammad Shuja

  • Nephrology Physician
  • Mandeville, LA
National Provider Identifier
1952120180
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
LOUISIANA KIDNEY CLINIC, LLC
Doing business as
Imran Muhammad Shuja
Practice address
675 N Causeway Blvd
Mandeville, LA 70448-4600
Phone
(504) 621-7001
NPI assigned
Oct 4, 2024
Last updated
Nov 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Authorized official

Name
Dr. Imran Muhammad Shuja, MDNPI 1922493030
Title
Physician/ Sole Owner
Phone
(504) 621-7001

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
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

675 N Causeway Blvd
Mandeville, LA 70448-4600

Mailing address

675 N Causeway Blvd
Mandeville, LA 70448-4600
Phone (504) 621-7001

Other names 1

  • Imran Muhammad Shuja Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241209004118 LA Part B Supplier - Clinic/Group Practice 1052847480 Receives reassigned benefits from 2 practitioners
Practice locations: Mandeville, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1728000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1952120180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 N CAUSEWAY BLVD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704484600",
            "telephone_number": "504-621-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 N CAUSEWAY BLVD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704484600",
            "telephone_number": "504-621-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA KIDNEY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "SHUJA",
        "authorized_official_first_name": "IMRAN",
        "authorized_official_middle_name": "MUHAMMAD",
        "authorized_official_title_or_position": "PHYSICIAN/ SOLE OWNER",
        "authorized_official_telephone_number": "504-621-7001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Imran Muhammad Shuja",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.