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TUCKER S. BLACKLEDGE MD
NPI 1134651284
Pediatrics in Shreveport, LA

Active since March 29, 2017PECOS Enrolled
1501 KINGS HWY, PEDIATRICS, SHREVEPORT, LA 71103(318) 626-2274 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 14, 2023, Mar 29, 2017 (2 updates tracked since 2017).

About Tucker S. Blackledge Md NPPES

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

TUCKER S. BLACKLEDGE MD (NPI 1134651284) is an individual pediatrics provider in Shreveport, Louisiana, licensed in Arkansas (E-13312) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134651284
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameTUCKER S. BLACKLEDGECredential: MD
Location Address1501 KINGS HWY, PEDIATRICSShreveport, LA 71103-4228
Mailing Address1 Childrens Way # 653Little Rock, AR 72202-3500 · (501) 364-1100 · Fax (501) 364-4082
Phone(318) 626-2274
Sole ProprietorNo
Enumeration DateMarch 29, 2017
Last NPPES UpdateAugust 14, 20232 updates tracked since enumeration
NPPES CertifiedAugust 14, 2023
✔ NPI 1134651284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AR · E-13312
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Pediatric Hematology-OncologyTaxonomy 2080P0207X · License E-13312 (AR)
1501 KINGS HWY, Shreveport, LA 71103
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tucker S. Blackledge Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

HS LOUISIANA, LLC
General Practice
1501 KINGS HWY, SUITE 5-303
SHREVEPORT, LA 71103
Caddo Parish (904) 834-2679
MUNIRA DAWITH MD
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY, PSYCHIATRY
SHREVEPORT, LA 71103
Caddo Parish (318) 675-6619
MUHAMMAD AYUB
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0434
SEFI AHMED JAWADI
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0505
LUKE MUIZNIEKS
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-1574
KRISTIN BEMBENICK
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 675-5300
CHRISTIAN SCOTT BAKER MD
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 675-5053
BRYCE MILLER DO
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0434

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 Tucker Blackledge's NPI number?

The NPI number for Tucker Blackledge is 1134651284. It was assigned to this individual provider in the NPPES registry on March 29, 2017.

Where is Tucker Blackledge located?

Tucker Blackledge practices at 1501 Kings Hwy Pediatrics, Shreveport, LA 71103. The listed phone number is (318) 626-2274.

What is Tucker Blackledge's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Tucker Blackledge enrolled in Medicare?

Yes. Tucker Blackledge is registered in the Medicare PECOS enrollment system.

What insurance does Tucker Blackledge accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Tucker Blackledge 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 Tucker Blackledge was last updated on August 14, 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.