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NORTHWEST LOUISIANA NEPHROLOGY, LLC
NPI 1669416491
Internal Medicine - Nephrology in Shreveport, LA

Active since June 15, 2006CLIA Certified · 2 labs
1800 BUCKNER ST, SUITE C120, SHREVEPORT, LA 71101(318) 227-8899(318) 222-0407 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 12, 2026, Apr 11, 2024 (2 updates tracked since 2024).

About Northwest Louisiana Nephrology, Llc NPPES

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

NORTHWEST LOUISIANA NEPHROLOGY, LLC (NPI 1669416491) is a healthcare organization registered as a nephrology in Shreveport, Louisiana and active in the NPI registry since June 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Shreveport, and lists Sreedhara B Alla, Md, as its authorized official.

NPPES Registry Identity

NPI1669416491
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameNORTHWEST LOUISIANA NEPHROLOGY, LLC
Location Address1800 BUCKNER ST, SUITE C120Shreveport, LA 71101-4440
Mailing Address1800 Buckner St Ste C120Shreveport, LA 71101-4453 · (318) 227-8899 · Fax (318) 222-0407
Phone(318) 227-8899
Fax(318) 222-0407
Organization SubpartNo
Authorized OfficialSreedhara B AllaMd · (318) 227-8899
Enumeration DateJune 15, 2006
Last NPPES UpdateMarch 12, 20262 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
✔ NPI 1669416491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
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
Open in Google Maps ↗

Secondary Practice Location 1

Location 12501 Greenwood Rd Ste C-120Shreveport, LA 71103-3905 · Phone (318) 631-1584 · Fax (318) 635-8322

Other Identifiers 1

Medicaid1941255LA

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

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 Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northwest Louisiana Nephrology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

27

Medicare enrollment records show 27 clinicians reassign Medicare billing to Northwest Louisiana Nephrology, LLC, which bills Medicare for the services they deliver. Of these, 17 practice at this address and 23 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Nurse Practitioner14
Nephrology13

Nearest to this location (20)

See all 27
Abhijin Das, MBBS
Nephrology
NPI 1578870929
1800 BUCKNER ST STE C120
Shreveport, LA 71101
(318) 227-8899
✔ PECOS✔ Accepts MedicareSame address
Jodi Little Mullens, NP
Nurse Practitioner
NPI 1831263490
1800 BUCKNER ST STE C120
Shreveport, LA 71101
(318) 227-8899
✔ PECOS✔ Accepts MedicareSame address
Erica Washington, APRN-CNP
Nurse Practitioner
NPI 1235086745
1800 BUCKNER ST STE C120
Shreveport, LA 71101
(318) 227-8899
✔ PECOS✔ Accepts MedicareSame address
Zulqarnain Abro, MD
Nephrology
NPI 1740465798
1800 BUCKNER ST SUITE C120
Shreveport, LA 71101
(318) 227-8899
✔ PECOS✔ Accepts MedicareSame address
Sreedhara Alla, M.D.
Nephrology
NPI 1215155791
1800 BUCKNER ST SUITE C120
Shreveport, LA 71101
(318) 227-8899
✔ PECOS✔ Accepts MedicareSame address
Arnold Barz, MD
Nephrology
NPI 1710972559
1800 BUCKNER ST SUITE C120
Shreveport, LA 71101
(318) 227-8899
✔ PECOS✔ Accepts MedicareSame address
Cheng Chu, M.D.
Nephrology
NPI 1578824058
1800 BUCKNER ST STE C120
Shreveport, LA 71101
(575) 312-7735
✔ PECOS✔ Accepts MedicareSame address
Stacey Durr, RN, CFNP
Nurse Practitioner
NPI 1770511107
1800 BUCKNER ST SUITE C120
Shreveport, LA 71101
(318) 227-8899
✔ PECOS✔ Accepts MedicareSame address
Amanda Foster, NP
Nurse Practitioner
NPI 1891473690
1800 BUCKNER ST STE C120
Shreveport, LA 71101
(318) 227-8899
✔ PECOS✔ Accepts MedicareSame address
Logan Hale, APRN-CNP
Nurse Practitioner
NPI 1487538955
1800 BUCKNER ST STE C120
Shreveport, LA 71101
(318) 227-8899
✔ PECOS✔ Accepts MedicareSame address
Gina Inthavong, NURSE PRACTITIONER
Nurse Practitioner
NPI 1912579301
1800 BUCKNER ST STE C120
Shreveport, LA 71101
(318) 227-8899
✔ PECOS✔ Accepts MedicareSame address
Srinivasa Iskapalli, MD
Nephrology
NPI 1114044468
1800 BUCKNER ST STE C120
Shreveport, LA 71101
(318) 227-8899
✔ PECOS✔ Accepts MedicareSame address
Mary Mladenka Dowden, FNP-BC
Nurse Practitioner
NPI 1538488028
1800 BUCKNER ST SUITE C-120
Shreveport, LA 71101
(318) 227-8899
✔ PECOS✔ Accepts MedicareSame address
Michael Rokaw, MD
Nephrology
NPI 1154317469
1800 BUCKNER ST STE C120
Shreveport, LA 71101
(318) 227-8899
✔ PECOS✔ Accepts MedicareSame address
Audrey Smith, NP
Nurse Practitioner
NPI 1164654646
1800 BUCKNER ST SUITE C-120
Shreveport, LA 71101
(318) 227-8899
✔ PECOS✔ Accepts MedicareSame address
Donald Smith, NP
Nurse Practitioner
NPI 1407842644
1800 BUCKNER ST SUITE C120
Shreveport, LA 71101
(318) 227-8899
✔ PECOS✔ Accepts MedicareSame address
Raja Zabaneh, MD,FACP
Nephrology
NPI 1437144052
1800 BUCKNER ST SUITE C120
Shreveport, LA 71101
(318) 227-8899
✔ PECOS✔ Accepts MedicareSame address
Adnan Faruqui, MD
Nephrology
NPI 1700345667
2501 GREENWOOD RD
Shreveport, LA 71103
(318) 631-1584
✔ PECOS✔ Accepts Medicare1.5 mi
Marwan Kaskas, MD
Nephrology
NPI 1831184407
2501 GREENWOOD RD
Shreveport, LA 71103
(318) 631-1584
✔ PECOS✔ Accepts Medicare1.5 mi
Chase White, NP
Nurse Practitioner
NPI 1235511981
2751 ALBERT L BICKNELL DR SUITE 3C
Shreveport, LA 71103
(318) 212-0810
✔ PECOS✔ Accepts Medicare1.6 mi
See all 27 clinicians

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 19D0862383

Northwest Louisiana Nephrology LLC · Shreveport, LA
Active · expires Aug 31, 2028
CLIA Number19D0862383
Laboratory TypeOther
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorSreedhara B. Alla
Laboratory Phone(318) 227-8899
Laboratory LocationNorthwest Louisiana Nephrology LLC2501 Greenwood Road, Shreveport, LA 71103
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Accreditation 19D0862382

Northwest Louisiana Nephrology LLC · Shreveport, LA
Active · expires Oct 31, 2026
CLIA Number19D0862382
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2024
Certificate Expiration DateOctober 31, 2026
Laboratory DirectorSreedhara B. Alla
Laboratory Phone(318) 220-9792
Laboratory LocationNorthwest Louisiana Nephrology LLC1800 Buckner Street, Suite C-120, Shreveport, LA 71101
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Northwest Louisiana Nephrology, LLC's NPI number?

The NPI number for Northwest Louisiana Nephrology, LLC is 1669416491. It was assigned to this organization in the NPPES registry on June 15, 2006.

Where is Northwest Louisiana Nephrology, LLC located?

Northwest Louisiana Nephrology, LLC is located at 1800 Buckner St Suite C120, Shreveport, LA 71101. The listed phone number is (318) 227-8899.

What is Northwest Louisiana Nephrology, LLC's specialty?

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

Is Northwest Louisiana Nephrology, LLC enrolled in Medicare?

Yes. Northwest Louisiana Nephrology, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northwest Louisiana Nephrology, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 2 Medicare specialties reassign their Medicare billing to Northwest Louisiana Nephrology, 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. The largest specialties are Nurse Practitioner (14) and Nephrology (13). Of these, 17 practice at this address and 23 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Northwest Louisiana Nephrology, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Northwest Louisiana Nephrology, LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and AmeriHealth Caritas Next and 2 other insurers list Northwest Louisiana Nephrology, LLC 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 Northwest Louisiana Nephrology, LLC was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.