LIGHTHOUSE MEDICAL LLC
NPI 1023718202
Internal Medicine - Critical Care Medicine in Shreveport, LA

Active since March 07, 2023
1800 IRVING PL, SHREVEPORT, LA 71101(318) 425-4096 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lighthouse Medical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIGHTHOUSE MEDICAL LLC (NPI 1023718202) is a healthcare organization registered as a critical care medicine in Shreveport, Louisiana and active in the NPI registry since March 2023. The organization lists Ahmed Virani, Owner, as its authorized official.

NPPES Registry Identity

NPI1023718202
Entity TypeOrganization
Primary Taxonomy207RC0200X
Legal Business NameLIGHTHOUSE MEDICAL LLC
Location Address1800 IRVING PLShreveport, LA 71101-4608
Mailing Address8455 Fern Ave Apt 1406Shreveport, LA 71105-5785
Organization SubpartNo
Authorized OfficialAhmed ViraniOwner · (832) 858-8058
Enumeration DateMarch 7, 2023
NPPES CertifiedMarch 7, 2023
✔ NPI 1023718202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
1800 IRVING PL, Shreveport, LA 71101

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lighthouse Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lighthouse Medical LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Pulmonary Disease
NPI 1881081941
2508 BERT KOUNS INDUSTRIAL LOOP STE 311
Shreveport, LA 71118
(318) 212-5764
✔ PECOS✔ Accepts Medicare7.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lighthouse Medical LLC's NPI number?

The NPI number for Lighthouse Medical LLC is 1023718202. It was assigned to this organization in the NPPES registry on March 7, 2023.

Where is Lighthouse Medical LLC located?

Lighthouse Medical LLC is located at 1800 Irving Pl, Shreveport, LA 71101. The listed phone number is (318) 425-4096.

What is Lighthouse Medical LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Lighthouse Medical LLC enrolled in Medicare?

Yes. Lighthouse Medical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lighthouse Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pulmonary Disease) reassigns their Medicare billing to Lighthouse Medical LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lighthouse Medical LLC was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.