DR. CHARLES GODFRIED OTU-NYARKO M.D
NPI 1245487404
Pediatrics - Pediatric Gastroenterology in Shreveport, LA

Q: What is Charles Otu-nyarko's NPI number?

The NPI number for Charles Otu-nyarko is 1245487404. It was assigned to this individual provider in the NPPES registry on August 19, 2008.

Q: What is Charles Otu-nyarko's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Active since August 19, 2008PECOS Enrolled

2508 BERT KOUNS LOOP, SUITE 101, SHREVEPORT, LA 71118(318) 212-5858(318) 212-5877 Get Directions Write a Review

NPPES record last updated: May 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2021, Apr 14, 2021 (2 updates tracked since 2021).

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About Dr. Charles Godfried Otu-nyarko M.d NPPES

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

DR. CHARLES GODFRIED OTU-NYARKO M.D (NPI 1245487404) is an individual pediatric gastroenterology provider in Shreveport, Louisiana, licensed in Louisiana (MD.203819) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Baton Rouge.

NPPES Registry Identity

NPI1245487404

Entity TypeIndividualMale

Primary Taxonomy2080P0206X

Provider Legal NameDR. CHARLES GODFRIED OTU-NYARKOCredential: M.D

Location Address2508 BERT KOUNS LOOP, SUITE 101Shreveport, LA 71118-3133

Mailing Address2508 Bert Kouns Loop, Suite 101Shreveport, LA 71118-3133 · (318) 212-5858 · Fax (318) 212-5877

Phone(318) 212-5858

Fax(318) 212-5877

Sole ProprietorNo

Enumeration DateAugust 19, 2008

Last NPPES UpdateMay 14, 20212 updates tracked since enumeration

NPPES CertifiedApril 19, 2021

✔ NPI 1245487404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0206X

License✔ Licensed in LA · MD.203819

Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

Also ListedPediatricsTaxonomy 208000000X · License 125.052705 (IL)

2508 BERT KOUNS LOOP, Shreveport, LA 71118

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Secondary Practice Location 1

Location 18200 Constantin Blvd Fl 4Baton Rouge, LA 70809-3481 · Phone (225) 765-5500 · Fax (225) 765-2054

Other Identifiers 1

Medicaid2107259LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health 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)

Dr. Charles Godfried Otu-nyarko M.d 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 71118 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

$124.60 typical visit price

range $53.43 – $164.73

Typical copayment $31.15 (range $13.35 – $41.18)

Most-billed visit code 99204

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.

EDDIE D JOHNSON MD & WILLIS-KNIGHTON MEDICAL CENTER

Family Medicine

2508 BERT KOUNS LOOP, SUITE 102
SHREVEPORT, LA 71118

Caddo Parish (318) 671-1291

GAYLON DAIGLE M.D.

Obstetrics & Gynecology

2508 BERT KOUNS LOOP, SUITE 207
SHREVEPORT, LA 71118

Caddo Parish (318) 212-5343

WK SHREVEPORT CENTER FOR GERIATRIC HEALTH

Psychiatry & Neurology (Geriatric Psychiatry)

2508 BERT KOUNS LOOP, SUITE 303
SHREVEPORT, LA 71118

Caddo Parish (318) 212-5850

O ALLEN GERMAN MD

Obstetrics & Gynecology

2508 BERT KOUNS LOOP, SUITE 101
SHREVEPORT, LA 71118

Caddo Parish (318) 688-6090

WK WOMENS HEALTH CLINIC

Obstetrics & Gynecology

2508 BERT KOUNS LOOP, SUITE 201
SHREVEPORT, LA 71118

Caddo Parish (318) 688-8804

EDDIE D. JOHNSON MD

Family Medicine

2508 BERT KOUNS LOOP, SUITE 102
SHREVEPORT, LA 71118

Caddo Parish (318) 671-1291

KRISTY L. BRAUD MD

Family Medicine

2508 BERT KOUNS LOOP, SUITE 103
SHREVEPORT, LA 71118

Caddo Parish (318) 687-5277

WK PEDIATRIC SURGICAL ASSOCIATES

Surgery (Pediatric Surgery)

2508 BERT KOUNS LOOP
SHREVEPORT, LA 71118

Caddo Parish (318) 212-5880

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 Charles Otu-nyarko's NPI number?

The NPI number for Charles Otu-nyarko is 1245487404. It was assigned to this individual provider in the NPPES registry on August 19, 2008.

Where is Charles Otu-nyarko located?

Charles Otu-nyarko practices at 2508 Bert Kouns Loop Suite 101, Shreveport, LA 71118. The listed phone number is (318) 212-5858.

What is Charles Otu-nyarko's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Charles Otu-nyarko enrolled in Medicare?

Yes. Charles Otu-nyarko is registered in the Medicare PECOS enrollment system.

What insurance does Charles Otu-nyarko accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Charles Otu-nyarko 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 Charles Otu-nyarko was last updated on May 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.