ABDEL FARID ABU SHAMAT MD
NPI 1528053824
Internal Medicine - Nephrology in Lake Charles, LA

Active since September 13, 2005PECOS EnrolledAccepts Medicare Assignment
16.94/100
CMS Quality Rating
333 DR MICHAEL DEBAKEY DR, SUITE 140, LAKE CHARLES, LA 70601(337) 494-7090(337) 494-7040 Get Directions Write a Review

NPPES record last updated: November 17, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Abdel Farid Abu Shamat Md NPPES

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

ABDEL FARID ABU SHAMAT MD (NPI 1528053824) is an individual nephrology provider in Lake Charles, Louisiana, licensed in Louisiana (11617R) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with West Calcasieu Cameron Hospital, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1528053824
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameABDEL FARID ABU SHAMATCredential: MD
Location Address333 DR MICHAEL DEBAKEY DR, SUITE 140Lake Charles, LA 70601-5887
Mailing Address333 Dr Michael Debakey Dr, Suite 140Lake Charles, LA 70601-5887 · (337) 494-7090 · Fax (337) 494-7040
Fax(337) 494-7040
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateSeptember 13, 2005
Last NPPES UpdateNovember 17, 2009
NPI 1528053824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in LA · 11617R
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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 11617R (LA)
333 DR MICHAEL DEBAKEY DR, Lake Charles, LA 70601

Other Identifiers 5

Medicare PIN5W776D048LA
Medicare ID-Type Unspecified5W776
Medicaid1679232LA
OtherP00103040LA · Rr Medicare
Medicare UPING25692

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

Abdel Farid Abu Shamat Md 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 ID749179901
PECOS Enrollment IDI20040315000432
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 13

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.

Established patient office or other outpatient visit, 30-39 minutes 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.
1,081 services553 patients
Follow-up hospital inpatient care per day, typically 25 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.
963 services290 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
477 services135 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.
292 services50 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.
226 services59 patients
Initial hospital inpatient care per day, typically 50 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.
209 services183 patients

Hospital Affiliations CMS Care Compare 5

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

West Calcasieu Cameron Hospital

Acute Care Hospitals · Sulphur, LA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190013
Location701 East Cypress StreetSulphur, LA 70663 · Calcasieu County
Emergency services Birthing friendly

Christus Ochsner St Patrick Hospital

Acute Care Hospitals · Lake Charles, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190027
Location524 Dr Michael Debakey DriveLake Charles, LA 70601 · Calcasieu County
Emergency services

Beauregard Memorial Hospital

Acute Care Hospitals · Deridder, LA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190050
Location600 S Pine StreetDeridder, LA 70634 · Beauregard County
Emergency services Birthing friendly

Lake Charles Memorial Hospital

Acute Care Hospitals · Lake Charles, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190060
Location1701 Oak Park BlvdLake Charles, LA 70601 · Calcasieu County
Emergency services Birthing friendly

Christus Ochsner Lake Area Hospital

Acute Care Hospitals · Lake Charles, LA
OwnershipVoluntary non-profit - Private
CMS Certification Number190201
Location4200 Nelson RoadLake Charles, LA 70605 · Calcasieu County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70601 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.

16.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost56.46

Referred Medical Equipment & Supplies CMS DME claims 5

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers25 claims2,940 services$0.32 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
6 suppliers33 claims7,260 services$0.18 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers20 claims21 services$192.48 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
7 suppliers35 claims35 services$17.87 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
5 suppliers35 claims37 services$12.29 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 9

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

Psychiatry & Neurology (Psychiatry)
333 DR MICHAEL DEBAKEY DR, STE. 220
LAKE CHARLES, LA 70601
Clinic/Center (Health Service)
333 DR MICHAEL DEBAKEY DR, SUITE 140
LAKE CHARLES, LA 70601
Psychiatry & Neurology (Psychiatry)
333 DR MICHAEL DEBAKEY DR, STE. 220
LAKE CHARLES, LA 70601
Psychiatry & Neurology (Psychiatry)
333 DR MICHAEL DEBAKEY DR, SUITE 220
LAKE CHARLES, LA 70601
Social Worker
333 DR MICHAEL DEBAKEY DR, STE, 220
LAKE CHARLES, LA 70601
Internal Medicine (Nephrology)
333 DR MICHAEL DEBAKEY DR, SUITE 140
LAKE CHARLES, LA 70601
Family Medicine
333 DR MICHAEL DEBAKEY DR, STE 110
LAKE CHARLES, LA 70601
Nurse Practitioner (Family)
333 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA 70601

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 Abdel Abu Shamat's NPI number?

The NPI number for Abdel Abu Shamat is 1528053824. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Where is Abdel Abu Shamat located?

Abdel Abu Shamat practices at 333 Dr Michael Debakey Dr Suite 140, Lake Charles, LA 70601. The listed phone number is (337) 494-7090.

What is Abdel Abu Shamat's specialty?

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

Is Abdel Abu Shamat enrolled in Medicare?

Yes. Abdel Abu Shamat 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 Abdel Abu Shamat 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 Abdel Abu Shamat 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 Abdel Abu Shamat affiliated with any hospitals?

According to CMS data, Abdel Abu Shamat is affiliated with West Calcasieu Cameron Hospital, Christus Ochsner St Patrick Hospital, Beauregard Memorial Hospital, Lake Charles Memorial Hospital and Christus Ochsner Lake Area Hospital.

When was this NPI record last updated?

The NPPES record for Abdel Abu Shamat was last updated on November 17, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.