DR. SHAMS KHALIL HALAT MD
NPI 1609066109
Pathology - Cytopathology in Baton Rouge, LA
NPI Status: Active since July 31, 2007
Contact Information
5339 ODONOVAN DR
BATON ROUGE, LA
ZIP 70808
Phone: (225) 766-4999
Fax: (225) 767-4702
- Individual
- Female
- Years of Experience 25
- Pathology
- Cytopathology
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About SHAMS HALAT
This page provides the complete NPI Profile along with additional information for Shams Halat, a provider established in Baton Rouge, Louisiana with a medical specialization in Pathology, focusing in cytopathology and more than 25 years of experience. The healthcare provider is registered in the NPI registry with number 1609066109 assigned on July 2007. The practitioner's primary taxonomy code is 207ZC0500X with license number MD.203575 (LA). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1609066109
- Provider Name
- DR. SHAMS KHALIL HALAT MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5339 ODONOVAN DR BATON ROUGE, LA 70808
- Location Phone
- (225) 766-4999
- Location Fax
- (225) 767-4702
- Mailing Address
- 5339 ODONOVAN DR BATON ROUGE, LA 70808
- Mailing Phone
- (225) 766-4999
- Mailing Fax
- (225) 767-4702
- Medical School Name
- OTHER
- Graduation Year
- 2001
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-31-2007
- Last Update Date
- 05-10-2024
- Code Navigator
Location Map
Secondary Locations
- 2325 N Hullen St
Metairie, LA 70001
(504) 509-6680
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pathology Cytopathology
- Taxonomy Code
- 207ZC0500X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD.203575
- License State
- LA
- Taxonomy Description
- A cytopathologist is an anatomic pathologist trained in the diagnosis of human disease by means of the study of cells obtained from body secretions and fluids, by scraping, washing, or sponging the surface of a lesion, or by the aspiration of a tumor mass or body organ with a fine needle. A major aspect of a cytopathologist's practice is the interpretation of Papanicolaou-stained smears of cells from the female reproductive systems, the Pap test. However, the cytopathologist's expertise is applied to the diagnosis of cells from all systems and areas of the body. He/she is a consultant to all medical specialists.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue POS 60/40 $6500 - POS
- Blue POS 70/50 $4550 - POS
- Blue POS 80/60 $3200 - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 80/60 $1000 - POS
- Community Blue 80/60 $3200 - POS
- Community Blue Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - POS
- Community Blue Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - POS
- Community Blue Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - POS
- Precision Blue 80/60 $3200 (BR) - POS
- Precision Blue 80/60 $3200 (M) - POS
- Precision Blue Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (BR) - POS
- Precision Blue Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (M) - POS
- Precision Blue Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (BR) - POS
- Precision Blue Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (M) - POS
- Precision Blue Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (BR) - POS
- Precision Blue Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (M) - POS
- Signature Blue 80/60 $3200 - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 02303311 | MEDICAID (05) | MS | |
| 1070033 | MEDICAID (05) | LA |
Medicare Participation & PECOS Enrollment Status
Shams Halat is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Shams Halat is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 648459388
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20110126000941
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Cell examination of specimen, selective cellular enhancement technique
Evaluation of fine needle aspirate with interpretation and report
Pathology examination of specimen during surgery, first tissue block
Pathology examination of tissue using a microscope, high complexity
Pathology examination of tissue using a microscope, intermediate complexity
Pathology examination of tissue using a microscope, moderately high complexity
Pathology examination of tissue using a microscope, moderately low complexity
Special stained specimen slides to examine tissue including interpretation and report
Special stained specimen slides to examine tissue, each additional procedure
Special stained specimen slides to examine tissue, initial procedure
Special stained specimen slides to identify organisms including interpretation and report
Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.
This service was performed 23 times for 22 patientsThis procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.
This service was performed 28 times for 20 patientsA pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.
This service was performed 14 times for 11 patientsA high complexity pathology examination involves studying body tissue under a microscope to identify any abnormalities. This intricate process helps in diagnosing various conditions and deciding on the best treatment plan.
This service was performed 20 times for 16 patientsA pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
This service was performed 243 times for 106 patientsA pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
This service was performed 54 times for 31 patientsA pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
This service was performed 13 times for 13 patientsSpecial stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
This service was performed 39 times for 25 patientsSpecial stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
This service was performed 98 times for 24 patientsThis procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
This service was performed 46 times for 45 patientsThis service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
This service was performed 20 times for 12 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $31.15 for a new patient copayment and $23.77 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 70808 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $124.6
- Minimum New Patient Price $53.43
- Maximum New Patient Price $164.73
- Average New Patient Copayment $31.15
- Minimum New Patient Copayment $13.35
- Maximum New Patient Copayment $41.18
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $95.09
- Minimum Established Patient Price $16.64
- Maximum Established Patient Price $133.62
- Average Established Patient Copayment $23.77
- Minimum Established Patient Copayment $4.16
- Maximum Established Patient Copayment $33.4
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Shams Halat is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| LANE REGIONAL MEDICAL CENTER | 6300 MAIN STREET ZACHARY, LA 70791 | (225) 658-4000 | Acute Care Hospitals | |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER | 5000 HENNESSY BLVD BATON ROUGE, LA 70808 | (225) 765-6565 | Acute Care Hospitals | |
| SURGICAL SPECIALTY CENTER OF BATON ROUGE | 8080 BLUEBONNET BLVD BATON ROUGE, LA 70810 | (225) 408-8080 | Acute Care Hospitals | |
| THE SPINE HOSPITAL OF LOUISIANA | 10105 PARK ROW CIRCLE, SUITE 250 BATON ROUGE, LA 70810 | (225) 763-9900 | Acute Care Hospitals | |
| OUR LADY OF THE ANGELS HOSPITAL | 433 PLAZA STREET BOGALUSA, LA 70427 | (985) 730-6700 | Acute Care Hospitals |
Reviews for DR. SHAMS KHALIL HALAT MD
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 0 | 9 | 0 | 6 | 6 | 1 | 0 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 0 | 6 | 12 | 1 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 0 + 6 + 1 + 2 + 1 + 0 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1609066109 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1265693535 | AMBERLY LINDAU NUNEZ M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 5339 ODONOVAN DR BATON ROUGE, LA 70808 (225) 766-4999 |
| 1104472117 | PATHOLOGY GROUP OF LOUISIANA, A PROFESSIONAL MEDICAL CORPORATION Organization | Clinical Medical Laboratory | 5339 ODONOVAN DR BATON ROUGE, LA 70808 (225) 766-4999 |
| 1487996591 | ALEKSANDRA SOWDER M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 5339 ODONOVAN DR BATON ROUGE, LA 70808 (225) 766-4999 |
| 1871912170 | JEREMY ATKINSON M.D. Individual | Pathology (Dermatopathology) | 5339 ODONOVAN DR BATON ROUGE, LA 70808 (225) 766-4999 |
| 1851787063 | DR. MATTHEW WILLIAM AUTEN MD, PHD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 5339 ODONOVAN DR BATON ROUGE, LA 70808 (225) 766-4999 |
| 1023372604 | VISHAKHA PARDESHI MBBS; MPH Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 5339 ODONOVAN DR BATON ROUGE, LA 70808 (225) 766-4999 |
| 1548767080 | DR. JUNLIN ZHANG MD, PHD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 5339 ODONOVAN DR BATON ROUGE, LA 70808 (225) 766-4999 |
| 1194978122 | PATHOLOGY GROUP OF LOUISIANA, A PROFESSIONAL MEDICAL CORPORATION Organization | Clinical Medical Laboratory | 5339 ODONOVAN DR BATON ROUGE, LA 70808 (225) 766-4999 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609066109, enumerated in the NPI registry as an "individual" on July 31, 2007
The provider is located at 5339 Odonovan Dr Baton Rouge, La 70808 and the phone number is (225) 766-4999
The provider's speciality is Pathology with taxonomy code 207ZC0500X with a focus in Cytopathology
The provider has more than 25 years of experience.
The provider might be accepting Accepts: HMO Louisiana, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $124.6 with an average copayment of $31.15 for new patient appointments. Established patients should expect a typical charge of $95.09 and an average copayment of 23.77. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Cell examination of specimen, selective cellular enhancement technique, Evaluation of fine needle aspirate with interpretation and report, Pathology examination of specimen during surgery, first tissue block, Pathology examination of tissue using a microscope, high complexity, Pathology examination of tissue using a microscope, intermediate complexity, Pathology examination of tissue using a microscope, moderately high complexity, Pathology examination of tissue using a microscope, moderately low complexity, Special stained specimen slides to examine tissue including interpretation and report, Special stained specimen slides to examine tissue, each additional procedure, Special stained specimen slides to examine tissue, initial procedure and Special stained specimen slides to identify organisms including interpretation and report.
The practitioner is affiliated to the following hospital(s): LANE REGIONAL MEDICAL CENTER, OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER, SURGICAL SPECIALTY CENTER OF BATON ROUGE, THE SPINE HOSPITAL OF LOUISIANA and OUR LADY OF THE ANGELS HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on July 31, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.