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KENNETH PATRICK POWELL MD
NPI 1285833129
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Shreveport, LA

Active since July 11, 2007PECOS Enrolled
3100 SAMFORD AVE, SHREVEPORT, LA 71103(318) 226-3306(318) 226-3319 Get Directions Write a Review

NPPES record last updated: March 6, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kenneth Patrick Powell Md NPPES

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

KENNETH PATRICK POWELL MD (NPI 1285833129) is an individual pediatric orthopaedic surgery provider in Shreveport, Louisiana, licensed in Louisiana (320573) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285833129
Entity TypeIndividualMale
Primary Taxonomy207XP3100X
Provider Legal NameKENNETH PATRICK POWELLCredential: MD
Location Address3100 SAMFORD AVEShreveport, LA 71103-4239
Mailing Address3100 Samford AveShreveport, LA 71103-4239 · (318) 226-3306 · Fax (318) 226-3319
Phone(318) 226-3306
Fax(318) 226-3319
Sole ProprietorNo
Enumeration DateJuly 11, 2007
Last NPPES UpdateMarch 6, 2020
NPPES CertifiedMarch 6, 2020
✔ NPI 1285833129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XP3100X
Licenses✔ Licensed in LA · 320573✔ Licensed in TX · P7970✔ Licensed in MS · 23488
Definition
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License T-1987 (MS), MD48720 (TN)
3100 SAMFORD AVE, Shreveport, LA 71103
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Other Identifiers 1

Medicaid08129884MS

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 Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth Patrick Powell 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kenneth Powell reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shriners Hospitals For Children
0.1 mi
Children
3100 SAMFORD AVE
Shreveport, LA 71103
  • Reassigned Medicare billing, Louisiana and Texas enrollments
  • Also billed through NPI 1649850272 (Texas)
  • 52 clinicians in this Medicare group
NPI 1679617849 (318) 222-5704
Lsu Health Sciences Center Shreveport Faculty Group Practice
0.3 mi
Family Medicine
1541 KINGS HWY
Shreveport, LA 71103
  • Reassigned Medicare billing, Louisiana enrollment
  • 1,167 clinicians in this Medicare group
NPI 1013374222 (318) 626-0000
State Of Mississippi - University Of Mississippi Medical Center
208 mi
Rehabilitation
350 W WOODROW WILSON AVE STE 600
Jackson, MS 39213
  • Reassigned Medicare billing, Mississippi enrollment
  • 1,932 clinicians in this Medicare group
NPI 1619778586 (601) 815-6700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

LYNN GIBBS JENKINS LOTR
Occupational Therapist (Pediatrics)
3100 SAMFORD AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 222-5704
MRS. AMANDA CARFAGNO NP
Nurse Practitioner (Pediatrics)
3100 SAMFORD AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 226-3306
SUSAN H. THORNHILL
Occupational Therapist
3100 SAMFORD AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 226-3329
DAMIAN JUDE DUHON PT, DPT
Physical Therapist
3100 SAMFORD AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 226-4219
MRS. SUSAN SAYLORS BRYANT P.T.
Physical Therapist
3100 SAMFORD AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 222-5704
DR. GERARD KARL WILLIAMS JR. M.D.
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
3100 SAMFORD AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 222-5704
MS. SHANNON MARIE MORAN PT
Physical Therapist (Pediatrics)
3100 SAMFORD AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 222-5704
CARRIE KEITH DPT
Physical Therapist
3100 SAMFORD AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 222-5704

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 Kenneth Powell's NPI number?

The NPI number for Kenneth Powell is 1285833129. It was assigned to this individual provider in the NPPES registry on July 11, 2007.

Where is Kenneth Powell located?

Kenneth Powell practices at 3100 Samford Ave, Shreveport, LA 71103. The listed phone number is (318) 226-3306.

What is Kenneth Powell's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Is Kenneth Powell enrolled in Medicare?

Yes. Kenneth Powell is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kenneth Powell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Powell reassigns Medicare benefits to 3 organizations: Shriners Hospitals For Children (Shreveport, LA), Lsu Health Sciences Center Shreveport Faculty Group Practice (Shreveport, LA) and State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS). 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 Kenneth Powell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Powell accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and AmeriHealth Caritas Next and 3 other insurers list Kenneth Powell 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 Kenneth Powell was last updated on March 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.