EFFAT RASUL M.D.
NPI 1699086561
Internal Medicine in Lake Charles, LA

Active since June 25, 2010PECOS EnrolledAccepts Medicare Assignment
524 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601(337) 430-4455(337) 430-4454 Get Directions Write a Review

NPPES record last updated: July 5, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Effat Rasul M.d. NPPES

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

EFFAT RASUL M.D. (NPI 1699086561) is an individual internal medicine provider in Lake Charles, Louisiana, licensed in Louisiana (MD207731) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with West Calcasieu Cameron Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1699086561
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameEFFAT RASULCredential: M.D.
Location Address524 DR MICHAEL DEBAKEY DRLake Charles, LA 70601
Mailing Address524 Dr Michael Debakey DrLake Charles, LA 70601-5725 · (337) 430-4455 · Fax (337) 430-4454
Fax(337) 430-4454
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 25, 2010
Last NPPES UpdateJuly 5, 2018
NPI 1699086561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in LA · MD207731
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT196599 (PA)
524 DR MICHAEL DEBAKEY DR, Lake Charles, LA 70601

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

Effat Rasul M.d. 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 ID3779717855
PECOS Enrollment IDI20150429000800
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 35

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.
794 services293 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
234 services162 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
197 services98 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
174 services143 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
174 services39 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
148 services148 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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
97%212 patients4/55-star benchmark: 100%
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

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers22 claims22 services$6.22 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.

Occupational Therapist
524 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA 70601
Student in an Organized Health Care Education/Training Program
524 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA 70601
Internal Medicine
524 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA 70601
Nurse Practitioner (Family)
524 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA 70601
Hospitalist
524 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA 70601
Registered Nurse (Registered Nurse First Assistant)
524 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA 70601
Podiatrist (Foot & Ankle Surgery)
524 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA 70601
Internal Medicine (Pulmonary Disease)
524 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 Effat Rasul's NPI number?

The NPI number for Effat Rasul is 1699086561. It was assigned to this individual provider in the NPPES registry on June 25, 2010.

Where is Effat Rasul located?

Effat Rasul practices at 524 Dr Michael Debakey Dr, Lake Charles, LA 70601. The listed phone number is (337) 430-4455.

What is Effat Rasul's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Effat Rasul enrolled in Medicare?

Yes. Effat Rasul 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 Effat Rasul 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 3 other insurers list Effat Rasul 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 Effat Rasul affiliated with any hospitals?

According to CMS data, Effat Rasul 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 Effat Rasul was last updated on July 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.