DR. RAJA I ZABANEH MD,FACP
NPI 1437144052
Internal Medicine - Nephrology in Shreveport, LA

Active since September 20, 2005PECOS EnrolledAccepts Medicare Assignment
80.02/100
CMS Quality Rating
1800 BUCKNER ST, SUITE C120, SHREVEPORT, LA 71101(318) 227-8899(318) 222-0407 Get Directions Write a Review

NPPES record last updated: July 1, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Raja I Zabaneh Md,facp NPPES

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

DR. RAJA I ZABANEH MD,FACP (NPI 1437144052) is an individual nephrology provider in Shreveport, Louisiana, licensed in Louisiana (12857R) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Natchitoches Regional Medical Center, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1437144052
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. RAJA I ZABANEHCredential: MD,FACP
Location Address1800 BUCKNER ST, SUITE C120Shreveport, LA 71101-4440
Mailing Address1800 Buckner St, Suite C120Shreveport, LA 71101-4440 · (318) 227-8899 · Fax (318) 222-0407
Fax(318) 222-0407
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateSeptember 20, 2005
Last NPPES UpdateJuly 1, 2010
NPI 1437144052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in LA · 12857R
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1800 BUCKNER ST, Shreveport, LA 71101

Other Identifiers 7

Medicare ID-Type Unspecified5A8827907LA
Medicaid1543136LA
OtherA002Champus
Other390005802Railroad Medicare
Medicare UPINF11050LA
Other060876201Medicaid
Other721404303ZAOchsner

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Raja I Zabaneh Md,facp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749296978
PECOS Enrollment IDI20110222000972
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 19

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,019 services297 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
476 services283 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
183 services38 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
97 services95 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
75 services58 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
58 services29 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Natchitoches Regional Medical Center

Acute Care Hospitals · Natchitoches, LA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190007
Location501 Keyser AveNatchitoches, LA 71457 · Natchitoches County
Emergency services Birthing friendly

Christus Shreveport-Bossier Health System

Acute Care Hospitals · Shreveport, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190041
Location1453 E Bert Kouns Industrial LoopShreveport, LA 71105 · Caddo County
Emergency services Birthing friendly

Willis Knighton Medical Center

Acute Care Hospitals · Shreveport, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190111
Location2600 Greenwood RoadShreveport, LA 71103 · Caddo County
Emergency services Birthing friendly

Desoto Regional Health System

Acute Care Hospitals · Mansfield, LA
OwnershipVoluntary non-profit - Private
CMS Certification Number190118
Location207 Jefferson StreetMansfield, LA 71052 · De Soto County
Emergency services

Sabine Medical Center

Acute Care Hospitals · Many, LA
OwnershipProprietary
CMS Certification Number190218
Location240 Highland DriveMany, LA 71449 · Sabine County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.03
Promoting Interoperability100
Improvement Activities40
Cost40.12

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
100%239 patients5/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%1,506 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
81%999 patients3/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
6%252 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
92%98 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
94%735 patients4/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
60%480 patients3/55-star benchmark: 90%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
61%507 patients3/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
56%735 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%735 patients1/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 480 patients
0%480 patients5/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
4%735 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims1,650 services$0.01 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier15 claims15 services$18.87 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier13 claims13 services$12.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
1800 BUCKNER ST, SUITE C200
SHREVEPORT, LA 71101
Internal Medicine (Nephrology)
1800 BUCKNER ST, STE C120
SHREVEPORT, LA 71101
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
1800 BUCKNER ST, SUITE B210
SHREVEPORT, LA 71101
Nurse Practitioner
1800 BUCKNER ST, SUITE C-120
SHREVEPORT, LA 71101
Internal Medicine (Nephrology)
1800 BUCKNER ST, SUITE C120
SHREVEPORT, LA 71101
Radiology (Diagnostic Radiology)
1800 BUCKNER ST
SHREVEPORT, LA 71101
Speech-Language Pathologist
1800 BUCKNER ST, C-200
SHREVEPORT, LA 71101
Marriage & Family Therapist
1800 BUCKNER ST, SUITE C200
SHREVEPORT, LA 71101

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 Raja Zabaneh's NPI number?

The NPI number for Raja Zabaneh is 1437144052. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Raja Zabaneh located?

Raja Zabaneh practices at 1800 Buckner St Suite C120, Shreveport, LA 71101. The listed phone number is (318) 227-8899.

What is Raja Zabaneh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Raja Zabaneh enrolled in Medicare?

Yes. Raja Zabaneh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Raja Zabaneh accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Raja Zabaneh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Raja Zabaneh affiliated with any hospitals?

According to CMS data, Raja Zabaneh is affiliated with Natchitoches Regional Medical Center, Christus Shreveport-Bossier Health System, Willis Knighton Medical Center, Desoto Regional Health System and Sabine Medical Center.

When was this NPI record last updated?

The NPPES record for Raja Zabaneh was last updated on July 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.