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GULF COAST NEPHROLOGY, LLC
NPI 1982340774
Internal Medicine - Nephrology in Lake Charles, LA

Active since May 05, 2022CLIA 19D2274176 · Waiver
300 18TH ST STE 200, LAKE CHARLES, LA 70601(337) 497-0366(337) 497-1367 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Gulf Coast Nephrology, Llc NPPES

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

GULF COAST NEPHROLOGY, LLC (NPI 1982340774) is a healthcare organization registered as a nephrology in Lake Charles, Louisiana and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through December 27, 2026 and lists Diana Del Toro, Officer Of The Company, as its authorized official.

NPPES Registry Identity

NPI1982340774
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameGULF COAST NEPHROLOGY, LLC
Location Address300 18TH ST STE 200Lake Charles, LA 70601-7342
Mailing Address300 W Saint Mary BlvdLafayette, LA 70506-4638 · (337) 288-5557
Phone(337) 497-0366
Fax(337) 497-1367
Organization SubpartNo
Authorized OfficialDiana Del ToroOfficer Of The Company · (337) 288-5557
Enumeration DateMay 5, 2022
Last NPPES UpdateMarch 15, 2024
NPPES CertifiedMarch 15, 2024
✔ NPI 1982340774 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.
300 18TH ST STE 200, Lake Charles, LA 70601
Open in Google Maps ↗

Other Identifiers 1

Medicaid2602616LA

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 AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana, HMO Louisiana.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)

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

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Gulf Coast Nephrology, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Asif Nisar, MD
Nephrology
NPI 1316911092
300 18TH STREET SUITE 200
Lake Charles, LA 70601
(337) 439-5369
✔ PECOS✔ Accepts MedicareSame address
Roderick Clark, M.D.
Nephrology
NPI 1225066939
2804 AMBASSADOR CAFFERY PKWY
Lafayette, LA 70506
(337) 981-5156
✔ PECOS✔ Accepts Medicare68 mi
Anthony Blalock, M.D.
Nephrology
NPI 1124037726
2804 AMBASSADOR CAFFERY PKWY
Lafayette, LA 70506
(337) 981-5156
✔ PECOS✔ Accepts Medicare68 mi
Ibrahim Shenawi, MD
Nephrology
NPI 1811574759
2390 W CONGRESS ST
Lafayette, LA 70506
(337) 261-6000
✔ PECOS✔ Accepts Medicare70 mi
Spencer Hatch, DO
Nephrology
NPI 1518321496
300 W SAINT MARY BLVD
Lafayette, LA 70506
(337) 233-6593
✔ PECOS✔ Accepts Medicare72 mi
Juan Zeik, M.D.
Nephrology
NPI 1275569485
300 W SAINT MARY BLVD
Lafayette, LA 70506
(337) 233-6593
✔ PECOS72 mi
Shivakanth Burugu, M.D.
Nephrology
NPI 1023334828
224 N LEWIS ST
New Iberia, LA 70563
(337) 560-1144
✔ PECOS✔ Accepts Medicare86 mi

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

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 of Waiver 19D2274176

Gulf Coast Nephrology, LLC · Lake Charles, LA
Active · expires Dec 27, 2026
CLIA Number19D2274176
Laboratory TypePhysician Office
Certificate Effective DateDecember 28, 2024
Certificate Expiration DateDecember 27, 2026
Laboratory DirectorRoderick V. Clark
Laboratory Phone(337) 497-0366
Laboratory LocationGulf Coast Nephrology, LLC300 18th St, Suite 200, Lake Charles, LA 70601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Gulf Coast Nephrology, LLC's NPI number?

The NPI number for Gulf Coast Nephrology, LLC is 1982340774. It was assigned to this organization in the NPPES registry on May 5, 2022.

Where is Gulf Coast Nephrology, LLC located?

Gulf Coast Nephrology, LLC is located at 300 18th St Ste 200, Lake Charles, LA 70601. The listed phone number is (337) 497-0366.

What is Gulf Coast Nephrology, LLC's specialty?

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

Is Gulf Coast Nephrology, LLC enrolled in Medicare?

Yes. Gulf Coast Nephrology, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gulf Coast Nephrology, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Nephrology, reassign their Medicare billing to Gulf Coast 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Gulf Coast Nephrology, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2274176) is associated with this NPI, valid through December 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gulf Coast Nephrology, LLC accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Gulf Coast 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 Gulf Coast Nephrology, LLC was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.