PEDIATRIC CARDIOLOGY OF SOUTHWEST LOUISIANA, LLC
NPI 1962559740
Pediatrics - Pediatric Cardiology in Lake Charles, LA

Q: What is Pediatric Cardiology Of Southwest Louisiana, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Active since January 04, 2007

2005 SOUTHWOOD DR, LAKE CHARLES, LA 70605(337) 562-2293(337) 562-1469 Get Directions Write a Review

NPPES record last updated: April 10, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 10, 2017, Feb 20, 2017 (2 updates tracked since 2017).

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About Pediatric Cardiology Of Southwest Louisiana, Llc NPPES

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

PEDIATRIC CARDIOLOGY OF SOUTHWEST LOUISIANA, LLC (NPI 1962559740) is a healthcare organization registered as a pediatric cardiology in Lake Charles, Louisiana and active in the NPI registry since January 2007. The organization lists Mudar M Kattash, Owner, as its authorized official.

NPPES Registry Identity

NPI1962559740

Entity TypeOrganization

Primary Taxonomy2080P0202X

Legal Business NamePEDIATRIC CARDIOLOGY OF SOUTHWEST LOUISIANA, LLC

Location Address2005 SOUTHWOOD DRLake Charles, LA 70605-4139

Mailing Address2005 Southwood DrLake Charles, LA 70605-4139 · (337) 562-2293 · Fax (337) 562-1469

Phone(337) 562-2293

Fax(337) 562-1469

Organization SubpartNo

Authorized OfficialMudar M KattashOwner · (337) 562-2293

Enumeration DateJanuary 4, 2007

Last NPPES UpdateApril 10, 20172 updates tracked since enumeration

✔ NPI 1962559740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

Licenses✔ Licensed in LA · MD.203075✔ Licensed in LA · MD.12869R

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

2005 SOUTHWOOD DR, Lake Charles, LA 70605

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Pediatric Cardiology Of Southwest Louisiana, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Pediatric Cardiology Of Southwest Louisiana, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Megan Thibodeaux, NP

Nurse Practitioner

NPI 1043783814

2005 SOUTHWOOD DR
Lake Charles, LA 70605

(337) 562-2293

✔ PECOS✔ Accepts MedicareSame address

Mudar Kattash, MD

Pediatric Medicine

NPI 1174508741

2005 SOUTHWOOD DR
Lake Charles, LA 70605

(337) 562-2293

✔ PECOS✔ Accepts MedicareSame address

Nazire Ozcelik, M.D.

Cardiovascular Disease (Cardiology)

NPI 1366699159

3533 S ALAMEDA ST DRISCOLL CHILDREN'S HOSPITAL
Corpus Christi, TX 78411

(361) 694-5082

✔ PECOS301 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 Pediatric Cardiology Of Southwest Louisiana, LLC's NPI number?

The NPI number for Pediatric Cardiology Of Southwest Louisiana, LLC is 1962559740. It was assigned to this organization in the NPPES registry on January 4, 2007.

Where is Pediatric Cardiology Of Southwest Louisiana, LLC located?

Pediatric Cardiology Of Southwest Louisiana, LLC is located at 2005 Southwood Dr, Lake Charles, LA 70605. The listed phone number is (337) 562-2293.

What is Pediatric Cardiology Of Southwest Louisiana, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Pediatric Cardiology Of Southwest Louisiana, LLC enrolled in Medicare?

Yes. Pediatric Cardiology Of Southwest Louisiana, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pediatric Cardiology Of Southwest Louisiana, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Pediatric Cardiology Of Southwest Louisiana, LLC, in Cardiovascular Disease (Cardiology), Nurse Practitioner and Pediatric Medicine. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pediatric Cardiology Of Southwest Louisiana, LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Pediatric Cardiology Of Southwest Louisiana, 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 Pediatric Cardiology Of Southwest Louisiana, LLC was last updated on April 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.