THE KIDNEY CLINIC LLC
NPI 1760665129
Clinic/Center - Health Service in Lake Charles, LA

Active since December 07, 2007
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: December 7, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About The Kidney Clinic Llc NPPES

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

THE KIDNEY CLINIC LLC (NPI 1760665129) is a healthcare organization registered as a health service in Lake Charles, Louisiana and active in the NPI registry since December 2007. The organization lists Abdel Farid Abu Shamat, Member/president, as its authorized official.

NPPES Registry Identity

NPI1760665129
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameTHE KIDNEY CLINIC LLC
Location Address333 DR MICHAEL DEBAKEY DR, SUITE 140Lake Charles, LA 70601-5887
Mailing AddressPo Box 3230Lake Charles, LA 70602-3230 · (337) 494-7090 · Fax (337) 494-7040
Fax(337) 494-7040
Organization SubpartNo
Authorized OfficialAbdel Farid Abu ShamatMember/president · (337) 494-7090
Enumeration DateDecember 7, 2007
Last NPPES UpdateDecember 7, 2009
✔ NPI 1760665129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License✔ Licensed in LA · MD11617R
333 DR MICHAEL DEBAKEY DR, Lake Charles, LA 70601

Other Identifiers 3

Medicare PIN5DC 09
Medicaid1679232LA
Medicare PIN5W776DC09LA

Accepted 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)

The Kidney Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to The Kidney Clinic LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nephrology
NPI 1528053824
333 DR MICHAEL DEBAKEY DR SUITE 140
Lake Charles, LA 70601
(337) 494-7090
✔ PECOSSame address
Nephrology
NPI 1982833851
333 DR MICHAEL DEBAKEY DR SUITE 140
Lake Charles, LA 70601
(337) 494-7090
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1912401621
333 DR MICHAEL DEBAKEY DR STE 140
Lake Charles, LA 70601
(337) 494-7090
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1669968301
3021 LAKE ST
Lake Charles, LA 70601
(337) 884-7866
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1194288266
2770 3RD AVE STE 350
Lake Charles, LA 70601
(337) 494-2750
✔ PECOS✔ Accepts Medicare1.9 mi
Nurse Practitioner
NPI 1851136766
3589 HIGHWAY 389
Merryville, LA 70653
(409) 273-3400
✔ PECOS✔ Accepts Medicare38 mi

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

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 The Kidney Clinic LLC's NPI number?

The NPI number for The Kidney Clinic LLC is 1760665129. It was assigned to this organization in the NPPES registry on December 7, 2007.

Where is The Kidney Clinic LLC located?

The Kidney Clinic LLC is located at 333 Dr Michael Debakey Dr Suite 140, Lake Charles, LA 70601. The listed phone number is (337) 494-7090.

What is The Kidney Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is The Kidney Clinic LLC enrolled in Medicare?

Yes. The Kidney Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Kidney Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to The Kidney Clinic 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 Nephrology (3) and Nurse Practitioner (3). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does The Kidney Clinic LLC accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana and HMO Louisiana list The Kidney Clinic 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 The Kidney Clinic LLC was last updated on December 7, 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.