FRED S WILLIS MD
NPI 1235131665
Emergency Medicine in Shreveport, LA
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
Specialties & Licenses 2
Secondary Practice Locations 3
Other Identifiers 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 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.
Medicare Billing Reassignments
3Medicare enrollment records show Fred Willis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Shreveport, LA 71118
- Reassigned Medicare billing, Louisiana enrollment
- 18 clinicians in this Medicare group
Baton Rouge, LA 70806
- Reassigned Medicare billing, Louisiana enrollment
- 12 clinicians in this Medicare group
Hammond, LA 70403
- Reassigned Medicare billing, Louisiana enrollment
- 310 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.
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.
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
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.
Which organizations bill Medicare for Fred Willis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Fred Willis reassigns Medicare benefits to 3 organizations: Council For Advancement Of Social Service And Education (Shreveport, LA), Act One Health, LLC (Baton Rouge, LA) and North Oaks Medical Center, LLC (Hammond, 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 Fred Willis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Fred Willis accept?
Health plans from 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 5 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.
# Fred S Willis, MD · NPI 1235131665
Emergency Medicine physician in Shreveport, Louisiana. Individual provider, active in the CMS NPPES registry since August 15, 2005.
## Identity
- **NPI:** 1235131665 (Entity type: Individual)
- **Enumerated:** August 15, 2005
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 020188 (Louisiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2600 GREENWOOD RD, Shreveport, LA 71103-3908
- **Phone:** (318) 212-4500 · **Fax:** (318) 212-4143
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Council For Advancement Of Social Service And Education (NPI 1134532062, Shreveport, LA); Act One Health, LLC (NPI 1609543701, Baton Rouge, LA); North Oaks Medical Center, LLC (NPI 1972630705, Hammond, LA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Louisiana State University School Of Medicine In Shreveport, class of 1988
## Record status
- **NPPES last updated:** May 5, 2026
- **Other identifiers:** Medicaid 1390780 (LA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1235131665) · Data from the CMS NPPES public registry.