TUCKER S. BLACKLEDGE MD
NPI 1134651284
Pediatrics in Shreveport, LA
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 and maintains a secondary practice location in Little Rock.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tucker S. Blackledge Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Tucker Blackledge reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Little Rock, AR 72209
- Reassigned Medicare billing, Arkansas enrollment
- 1,246 clinicians in this Medicare group
Little Rock, AR 72202
- Reassigned Medicare billing, Arkansas enrollment
- 944 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
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.
Which organizations bill Medicare for Tucker Blackledge's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tucker Blackledge reassigns Medicare benefits to 2 organizations: University Of Arkansas For Medical Sciences (Little Rock, AR) and Arkansas Childrens Hospital (Little Rock, AR). 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 Tucker Blackledge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tucker Blackledge accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 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.
# Tucker S. Blackledge, MD · NPI 1134651284
Pediatrics physician in Shreveport, Louisiana. Individual provider, active in the CMS NPPES registry since March 29, 2017.
## Identity
- **NPI:** 1134651284 (Entity type: Individual)
- **Enumerated:** March 29, 2017
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** E-13312 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1501 KINGS HWY, PEDIATRICS, Shreveport, LA 71103-4228
- **Phone:** (318) 626-2274
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Arkansas For Medical Sciences (NPI 1285307744, Little Rock, AR); Arkansas Childrens Hospital (NPI 1598773079, Little Rock, AR) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 14, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1134651284) · Data from the CMS NPPES public registry.