PEDIATRIC CARDIOLOGY OF SOUTHWEST LOUISIANA, LLC
NPI 1962559740
Pediatrics - Pediatric Cardiology in Lake Charles, LA
NPI Status: Active since January 04, 2007
Contact Information
2005 SOUTHWOOD DR
LAKE CHARLES, LA
ZIP 70605
Phone: (337) 562-2293
Fax: (337) 562-1469
- Organization
- Pediatrics
- Pediatric Cardiology
- Accepts Insurance
- CLIA Number: 19D1102217
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-26-2026
About PEDIATRIC CARDIOLOGY OF SOUTHWEST LOUISIANA, LLC
This page provides the complete NPI Profile along with additional information for Pediatric Cardiology Of Southwest Louisiana, Llc, a pediatrician established in Lake Charles, Louisiana operating as a Pediatrics, focusing in pediatric cardiology . The healthcare provider is registered in the NPI registry with number 1962559740 assigned on January 2007. The practitioner's primary taxonomy code is 2080P0202X with license number MD.203075 (LA). The provider is registered as an organization and their NPI record was last updated 8 years ago. Pediatric Cardiology Of Southwest Louisiana, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mudar M Kattash M.d. (Owner)
- NPI
- 1962559740
- Provider Name
- PEDIATRIC CARDIOLOGY OF SOUTHWEST LOUISIANA, LLC
- Entity Type
- Organization
- Location Address
- 2005 SOUTHWOOD DR LAKE CHARLES, LA 70605
- Location Phone
- (337) 562-2293
- Location Fax
- (337) 562-1469
- Mailing Address
- 2005 SOUTHWOOD DR LAKE CHARLES, LA 70605
- Mailing Phone
- (337) 562-2293
- Mailing Fax
- (337) 562-1469
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-04-2007
- Last Update Date
- 04-10-2017
- Code Navigator
A pediatrician like Pediatric Cardiology Of Southwest Louisiana, Llc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
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
Pediatrics Pediatric Cardiology
- Taxonomy Code
- 2080P0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD.203075
- License State
- LA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2080P0202X | Allopathic & Osteopathic Physicians | Pediatrics | MD.12869R (LA) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Max 70/50 $6700 - PPO
- Blue Max 90/70 $1500 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
- Blue Saver 60/40 $6100 - PPO
- Blue Saver 90/70 $3200 - PPO
- 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
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 19D1102217
- Facility Type
- Physician Office
- Certificate Effective Date
- February 27, 2024
- Certificate Expiration Date
- February 26, 2026
- Laboratory Director
- LYLE STEPHENSON
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Pediatric Cardiology Of Southwest Louisiana, Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
Reviews for PEDIATRIC CARDIOLOGY OF SOUTHWEST LOUISIANA, LLC
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 | 9 | 6 | 2 | 5 | 5 | 9 | 7 | 4 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 12 | 2 | 10 | 5 | 18 | 7 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 2 + 2 + 1 + 0 + 5 + 1 + 8 + 7 + 8 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1962559740 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1174508741 | DR. MUDAR KATTASH MD Individual | Pediatrics (Pediatric Cardiology) | 2005 SOUTHWOOD DR LAKE CHARLES, LA 70605 (337) 562-2293 |
| 1225239478 | DR. RUBEE ANNE DELEON GUGOL M.D. Individual | Pediatrics (Pediatric Cardiology) | 2005 SOUTHWOOD DR LAKE CHARLES, LA 70605 (337) 562-2293 |
| 1043783814 | MEGAN LEBLANC THIBODEAUX NP Individual | Nurse Practitioner (Family) | 2005 SOUTHWOOD DR LAKE CHARLES, LA 70605 (337) 562-2293 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962559740, enumerated in the NPI registry as an "organization" on January 04, 2007
The provider is located at 2005 Southwood Dr Lake Charles, La 70605 and the phone number is (337) 562-2293
This medical organization specializes in Pediatrics with taxonomy code 2080P0202X with a focus in Pediatric Cardiology
The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana and HMO. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 19D1102217 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on January 04, 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.