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

Q: 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.

Q: What is Abdel Abu Shamat's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Abdel Abu Shamat was last updated on November 17, 2009. 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.

Active since September 13, 2005PECOS Enrolled

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: August 16, 2026.

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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.

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

Phone(337) 494-7090

Fax(337) 494-7040

Sole ProprietorYes

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

Open in Google Maps ↗

Other Identifiers 5

Medicare PIN5W776D048LA

Medicare ID-Type Unspecified5W776

Medicaid1679232LA

OtherP00103040LA · Rr Medicare

Medicare UPING25692

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abdel Farid Abu Shamat Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

791 services489 patients

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.

517 services193 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.

388 services111 patients

Dialysis services, per day, less than full month service (20 years or older) 90970

Dialysis is a treatment that replicates some functions of healthy kidneys when they're not working properly. It helps to remove waste, salt, and excess water from your body and maintain a safe level of certain chemicals in your blood. This service, for patients aged 20 or older, is provided on a daily basis for less than a full month.

359 services13 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.

259 services49 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.

247 services66 patients

Home dialysis services per month (20 years or older) 90966

Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.

232 services30 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

95 services92 patients

Dialysis services, 1 physician visit per month (20 years or older) 90962

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 canâ€™t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.

87 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.

85 services70 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

66 services38 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

61 services61 patients

Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426

Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.

17 services13 patients

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

Quality

Improvement Activities

Cost

56.46

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 8

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

DR. DAVID BUTTROSS III MD

Psychiatry & Neurology (Psychiatry)

333 DR MICHAEL DEBAKEY DR, SUITE 220
LAKE CHARLES, LA 70601

Calcasieu Parish (337) 478-9331

IMPERIAL HEALTH, LLP

Family Medicine

333 DR MICHAEL DEBAKEY DR, STE 110
LAKE CHARLES, LA 70601

Calcasieu Parish (337) 419-1947

DR. JAYENDRA K PATEL M.D.

Psychiatry & Neurology (Psychiatry)

333 DR MICHAEL DEBAKEY DR, STE. 220
LAKE CHARLES, LA 70601

Calcasieu Parish (337) 478-9331

KDB WEALTH, INC

Family Medicine

333 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA 70601

Calcasieu Parish (337) 721-9992

THE KIDNEY CLINIC LLC

Clinic/Center (Health Service)

333 DR MICHAEL DEBAKEY DR, SUITE 140
LAKE CHARLES, LA 70601

Calcasieu Parish (337) 494-7090

MS. ROBERTA A DOWDEN LCSW

Social Worker

333 DR MICHAEL DEBAKEY DR, STE, 220
LAKE CHARLES, LA 70601

Calcasieu Parish (337) 478-9331

MICHELLE D NGUYEN N.P.

Nurse Practitioner (Family)

333 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA 70601

Calcasieu Parish (337) 494-7090

AHAD AFTAB KHAN LODHI M.D.

Internal Medicine (Nephrology)

333 DR MICHAEL DEBAKEY DR, SUITE 140
LAKE CHARLES, LA 70601

Calcasieu Parish (337) 494-7090

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 enrollment system.

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.

When was this NPI record last updated?

The NPPES record for Abdel Abu Shamat was last updated on November 17, 2009. 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.