Northlake Nephrology Inc
NPI 1366448458ActiveOrganization· Internal Medicine, Nephrology· Covington, LA
Internal Medicine, Nephrology in Covington, Louisiana, registered in NPPES in June 2005. The authorized official on file is John C. Simon, MD, Md / Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366448458 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 22, 2005 |
| Last updated in NPPES | Sep 29, 2025 |
| Certified by provider | Sep 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (LA) |
|---|
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