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DR. FAWAZ ALOTAIBI DDS
NPI 1033544010
Oral & Maxillofacial Surgery in Shreveport, LA

Active since September 09, 2013PECOS Enrolled
1541 KINGS HWY, SHREVEPORT, LA 71103(318) 626-0000 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Fawaz Alotaibi Dds NPPES

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

DR. FAWAZ ALOTAIBI DDS (NPI 1033544010) is an individual oral & maxillofacial surgery provider in Shreveport, Louisiana, licensed in Louisiana (7144) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS and maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1033544010
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. FAWAZ ALOTAIBICredential: DDS
Location Address1541 KINGS HWYShreveport, LA 71103-4228
Mailing Address1541 Kings HwyShreveport, LA 71103-4228 · (318) 626-0177
Phone(318) 626-0000
Sole ProprietorNo
Enumeration DateSeptember 9, 2013
Last NPPES UpdateNovember 12, 2024
NPPES CertifiedNovember 12, 2024
✔ NPI 1033544010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in LA · 7144
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentistTaxonomy 122300000X · License 7144 (LA)
1541 KINGS HWY, Shreveport, LA 71103
Open in Google Maps ↗

Secondary Practice Location 1

Location 11161 NW 12 Avemiami, FL 33136 · Phone (305) 323-4669

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Fawaz Alotaibi Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Fawaz Alotaibi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lsu Health Sciences Center Shreveport Faculty Group Practice
Same address
Family Medicine
1541 KINGS HWY
Shreveport, LA 71103
  • Reassigned Medicare billing, Louisiana enrollment
  • 1,167 clinicians in this Medicare group
NPI 1013374222 (318) 626-0000
Rapides Healthcare System, LLC
111 mi
Urgent Care
105 N 3RD ST
Alexandria, LA 71301
  • Reassigned Medicare billing, Louisiana enrollment
  • 45 clinicians in this Medicare group
NPI 1477970168 (318) 769-8160

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
16 services14 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRATIK AGRAWAL
Internal Medicine (Cardiovascular Disease)
1541 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0000
SHAHEENA ANENE
Pediatrics
1541 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0000
UDAY KUMAR CHALWADI
Pediatrics (Pediatric Pulmonology)
1541 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0000
AYA MOUHAFFEL MD
Anesthesiology
1541 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0000
MUHAMMAD AYUB
Psychiatry & Neurology (Neurology)
1541 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0434
RYAN MORRIS
Obstetrics & Gynecology
1541 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0177
JENNIFER B CYPHER PA-C
Physician Assistant
1541 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0000
STEVEN R BAILEY MD
Internal Medicine (Interventional Cardiology)
1541 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0000

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 Fawaz Alotaibi's NPI number?

The NPI number for Fawaz Alotaibi is 1033544010. It was assigned to this individual provider in the NPPES registry on September 9, 2013.

Where is Fawaz Alotaibi located?

Fawaz Alotaibi practices at 1541 Kings Hwy, Shreveport, LA 71103. The listed phone number is (318) 626-0000.

What is Fawaz Alotaibi's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Fawaz Alotaibi enrolled in Medicare?

Yes. Fawaz Alotaibi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Fawaz Alotaibi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fawaz Alotaibi reassigns Medicare benefits to 2 organizations: Lsu Health Sciences Center Shreveport Faculty Group Practice (Shreveport, LA) and Rapides Healthcare System, LLC (Alexandria, LA). Each 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 Fawaz Alotaibi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fawaz Alotaibi accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental and 13 other insurers list Fawaz Alotaibi 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 Fawaz Alotaibi was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.