NPIMap

Individual provider Active NPI

Ahad Aftab Khan Lodhi, M.D.

  • Nephrology Physician
  • Lake Charles, LA
National Provider Identifier
1982833851
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD207664 Issued in LA
Practice address
333 Dr Michael Debakey Dr
Suite 140
Lake Charles, LA 70601-5889
Phone
(337) 494-7090
Fax
(337) 494-7040
NPI assigned
Jul 13, 2009
Last updated
Jul 28, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MT194170 PA
Internal Medicine Physician 207R00000X MD446499 PA
Nephrology Physician 207RN0300X MD207664 LA Primary

Addresses

Primary practice location

333 Dr Michael Debakey Dr
Suite 140
Lake Charles, LA 70601-5889

Mailing address

333 Dr Michael Debakey Dr
Suite 140
Lake Charles, LA 70601-5889
Phone (337) 494-7090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20150610001429 LA Practitioner - NephrologyPractitioner - Internal Medicine 9739330838

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Kidney Clinic LLCGroup PAC ID 2062593635, 4 clinicians

Practice addresses (Care Compare)

3021 Lake St
Lake Charles, LA 70601-8383
Phone (337) 494-7090

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.49 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT194170PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
The Kidney Clinic LLC CurrentSince Aug 1, 2015 Accepting new patients

Locations

3021 Lake St
Lake Charles, LA 70601
Phone (337) 494-7090

333 Dr Michael Debakey Dr
Ste 140
Lake Charles, LA 70601
Phone (337) 494-7090

Organizations & group practices 1

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 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1982833851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 DR MICHAEL DEBAKEY DR",
            "address_2": "SUITE 140",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015889",
            "telephone_number": "337-494-7090",
            "fax_number": "337-494-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 DR MICHAEL DEBAKEY DR",
            "address_2": "SUITE 140",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015889",
            "telephone_number": "337-494-7090",
            "fax_number": "337-494-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LODHI",
        "first_name": "AHAD",
        "middle_name": "AFTAB KHAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-13",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT194170",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD446499",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "MD207664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.