FRED S WILLIS MD
NPI 1235131665
Emergency Medicine in Shreveport, LA

Active since August 15, 2005PECOS EnrolledAccepts Medicare Assignment
79.02/100
CMS Quality Rating
2600 GREENWOOD RD, SHREVEPORT, LA 71103(318) 212-4500(318) 212-4143 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2026, Dec 12, 2024 (2 updates tracked since 2024).

About Fred S Willis Md NPPES

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

FRED S WILLIS MD (NPI 1235131665) is an individual emergency medicine provider in Shreveport, Louisiana, licensed in Louisiana (020188) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Louisiana State University School Of Medicine In Shreveport (1988).

NPPES Registry Identity

NPI1235131665
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameFRED S WILLISCredential: MD
Location Address2600 GREENWOOD RDShreveport, LA 71103-3908
Mailing AddressPo Box 32600Shreveport, LA 71130-2600 · (318) 212-4877 · Fax (318) 212-4192
Fax(318) 212-4143
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 1988
Enumeration DateAugust 15, 2005
Last NPPES UpdateMay 5, 20262 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
NPI 1235131665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in LA · 020188
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License MD.020188 (LA)
2600 GREENWOOD RD, Shreveport, LA 71103

Secondary Practice Locations 3

Location 11117 S Tyler StCovington, LA 70433-2327 · Phone (985) 892-3360
Location 22120 Bert Kouns Industrial Loop Ste K&lShreveport, LA 71118-3351 · Phone (318) 688-3350 · Fax (866) 554-1862
Location 31940A Washington StFranklinton, LA 70438-2135 · Phone (858) 392-2009

Other Identifiers 1

Medicaid1390780LA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Fred S Willis Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022068832
PECOS Enrollment IDI20050129000111
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.5
Promoting Interoperability100
Improvement Activities40
Cost42.93

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.

Emergency Medicine
2600 GREENWOOD RD
SHREVEPORT, LA 71103
Anesthesiology
2600 GREENWOOD RD
SHREVEPORT, LA 71103
Registered Nurse (Critical Care Medicine)
2600 GREENWOOD RD
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
2600 GREENWOOD RD
SHREVEPORT, LA 71103
Nurse Anesthetist, Certified Registered
2600 GREENWOOD RD
SHREVEPORT, LA 71103
Emergency Medicine
2600 GREENWOOD RD
SHREVEPORT, LA 71103
Radiology (Diagnostic Radiology)
2600 GREENWOOD RD
SHREVEPORT, LA 71103
Physician Assistant
2600 GREENWOOD RD
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 Fred Willis's NPI number?

The NPI number for Fred Willis is 1235131665. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Fred Willis located?

Fred Willis practices at 2600 Greenwood Rd, Shreveport, LA 71103. The listed phone number is (318) 212-4500.

What is Fred Willis's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Fred Willis enrolled in Medicare?

Yes. Fred Willis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Fred Willis accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Fred Willis 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 Fred Willis was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.