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LSU HEALTH SCIENCES CENTER SHREVEPORT FACULTY GROUP PRACTICE
NPI 1013374222
Family Medicine in Shreveport, LA

Active since January 19, 2016
1541 KINGS HWY, SHREVEPORT, LA 71103(318) 626-0000 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 16, 2023, Oct 18, 2021, Nov 14, 2019 and 2 more (5 updates tracked since 2016).

About Lsu Health Sciences Center Shreveport Faculty Group Practice NPPES

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

LSU HEALTH SCIENCES CENTER SHREVEPORT FACULTY GROUP PRACTICE (NPI 1013374222) is a healthcare organization registered as a family medicine in Shreveport, Louisiana and active in the NPI registry since January 2016. The organization lists Mitzi Green, Director, as its authorized official.

NPPES Registry Identity

NPI1013374222
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLSU HEALTH SCIENCES CENTER SHREVEPORT FACULTY GROUP PRACTICE
Location Address1541 KINGS HWYShreveport, LA 71103-4228
Mailing Address1512 W Kirby PlShreveport, LA 71103-3822 · (318) 626-0284
Phone(318) 626-0000
Organization SubpartNo
Authorized OfficialMitzi GreenDirector · (318) 626-0000
Enumeration DateJanuary 19, 2016
Last NPPES UpdateJune 28, 20235 updates tracked since enumeration
NPPES CertifiedJune 28, 2023
✔ NPI 1013374222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X
Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedNeurological SurgeryTaxonomy 207T00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOphthalmologyTaxonomy 207W00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedOtolaryngologyTaxonomy 207Y00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedSurgeryTaxonomy 208600000X
Also ListedUrologyTaxonomy 208800000X
1541 KINGS HWY, Shreveport, LA 71103
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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)

Lsu Health Sciences Center Shreveport Faculty Group Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,163

Medicare enrollment records show 1,163 clinicians reassign Medicare billing to Lsu Health Sciences Center Shreveport Faculty Group Practice, which bills Medicare for the services they deliver. Of these, 359 practice at this address and 734 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 60

Nurse Practitioner227
Internal Medicine111
Certified Registered Nurse Anesthetist (CRNA)75
Pediatric Medicine72
Anesthesiology61
Family Practice61
Obstetrics/Gynecology51
Emergency Medicine48
52 other specialties457

Nearest to this location (20)

See all 1,163
Adrian Abreo, M.D.
Nephrology
NPI 1023272895
1541 KINGS HWY
Shreveport, LA 71103
(318) 626-0000
✔ PECOS✔ Accepts MedicareSame address
Nimer Abushehab, MD
Neurosurgery
NPI 1649620238
1541 KINGS HWY
Shreveport, LA 71103
(318) 626-0000
✔ PECOS✔ Accepts MedicareSame address
Charles Adair, M.D
Obstetrics/Gynecology
NPI 1811989098
1541 KINGS HWY
Shreveport, LA 71103
(318) 626-0000
✔ PECOS✔ Accepts MedicareSame address
Sharon Adley, NP
Nurse Practitioner
NPI 1770581274
1541 KINGS HWY
Shreveport, LA 71103
(318) 626-0000
✔ PECOS✔ Accepts MedicareSame address
Jacob Afude, MD
Pathology
NPI 1285263665
1541 KINGS HWY
Shreveport, LA 71103
(318) 626-0000
✔ PECOS✔ Accepts MedicareSame address
Tahir Ahmad
Diagnostic Radiology
NPI 1013521509
1541 KINGS HWY
Shreveport, LA 71103
(318) 626-0000
✔ PECOS✔ Accepts MedicareSame address
Shahab Ahmadzadeh, MD
Anesthesiology
NPI 1932640364
1541 KINGS HWY
Shreveport, LA 71103
(318) 626-0000
✔ PECOS✔ Accepts MedicareSame address
Sidra Ahsan, MD
Internal Medicine
NPI 1477073906
1541 KINGS HWY
Shreveport, LA 71103
(318) 626-0000
✔ PECOSSame address
Massoud Allahyari
Interventional Radiology
NPI 1740660125
1541 KINGS HWY
Shreveport, LA 71103
(315) 626-0000
✔ PECOS✔ Accepts MedicareSame address
Fawaz Alotaibi, DDS
Dentist
NPI 1033544010
1541 KINGS HWY
Shreveport, LA 71103
(318) 626-0000
✔ PECOSSame address
Sergio Alvarado Montalvo, MD
Nuclear Medicine
NPI 1184103616
1541 KINGS HWY
Shreveport, LA 71103
(318) 626-0000
✔ PECOS✔ Accepts MedicareSame address
Federico Ampil, M.D.
Radiation Oncology
NPI 1538185012
1541 KINGS HWY
Shreveport, LA 71103
(318) 626-0000
✔ PECOS✔ Accepts MedicareSame address
Shaheena Anene
Pediatric Medicine
NPI 1003313545
1541 KINGS HWY
Shreveport, LA 71103
(318) 626-0000
✔ PECOSSame address
Teddy Arevalo Rodriguez, MD
Pulmonary Disease
NPI 1295390169
1541 KINGS HWY
Shreveport, LA 71103
(318) 626-0000
✔ PECOS✔ Accepts MedicareSame address
Aline Arif, MD
Infectious Disease
NPI 1801457593
1541 KINGS HWY
Shreveport, LA 71103
(318) 626-0000
✔ PECOS✔ Accepts MedicareSame address
Sheila Asghar, M.D., M.SC
Neurology
NPI 1508064445
1541 KINGS HWY
Shreveport, LA 71103
(318) 626-0000
✔ PECOSSame address
Dustin Bagley, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1831662162
1541 KINGS HWY
Shreveport, LA 71103
(318) 626-0000
✔ Accepts MedicareSame address
Adam Blancher
Otolaryngology
NPI 1952964058
1541 KINGS HWY
Shreveport, LA 71103
(318) 626-0000
✔ PECOS✔ Accepts MedicareSame address
John Brinkley, M.D.
Ophthalmology
NPI 1720210628
1541 KINGS HWY
Shreveport, LA 71103
(318) 626-0000
✔ PECOS✔ Accepts MedicareSame address
Elaine Brown
Emergency Medicine
NPI 1659734135
1541 KINGS HWY
Shreveport, LA 71103
(318) 626-0000
✔ PECOS✔ Accepts MedicareSame address
See all 1,163 clinicians

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 Lsu Health Sciences Center Shreveport Faculty Group Practice's NPI number?

The NPI number for Lsu Health Sciences Center Shreveport Faculty Group Practice is 1013374222. It was assigned to this organization in the NPPES registry on January 19, 2016.

Where is Lsu Health Sciences Center Shreveport Faculty Group Practice located?

Lsu Health Sciences Center Shreveport Faculty Group Practice is located at 1541 Kings Hwy, Shreveport, LA 71103. The listed phone number is (318) 626-0000.

What is Lsu Health Sciences Center Shreveport Faculty Group Practice's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lsu Health Sciences Center Shreveport Faculty Group Practice enrolled in Medicare?

Yes. Lsu Health Sciences Center Shreveport Faculty Group Practice is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lsu Health Sciences Center Shreveport Faculty Group Practice?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,163 clinicians in 60 Medicare specialties reassign their Medicare billing to Lsu Health Sciences Center Shreveport Faculty Group Practice. 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. The largest specialties are Nurse Practitioner (227), Internal Medicine (111) and Certified Registered Nurse Anesthetist (CRNA) (75). Of these, 359 practice at this address and 734 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lsu Health Sciences Center Shreveport Faculty Group Practice 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 3 other insurers list Lsu Health Sciences Center Shreveport Faculty Group Practice 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 Lsu Health Sciences Center Shreveport Faculty Group Practice was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.