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WK PEDIATRIC SURGICAL ASSOCIATES
NPI 1316386436
Surgery - Pediatric Surgery in Shreveport, LA

Active since June 21, 2013
2508 BERT KOUNS LOOP, SHREVEPORT, LA 71118(318) 212-5880(318) 212-5885 Get Directions Write a Review

NPPES record last updated: June 24, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wk Pediatric Surgical Associates NPPES

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

WK PEDIATRIC SURGICAL ASSOCIATES (NPI 1316386436) is a healthcare organization registered as a pediatric surgery in Shreveport, Louisiana and active in the NPI registry since June 2013. The organization lists Greg J Gavin, Network Administrator, as its authorized official.

NPPES Registry Identity

NPI1316386436
Entity TypeOrganization
Primary Taxonomy2086S0120X
Legal Business NameWK PEDIATRIC SURGICAL ASSOCIATES
Location Address2508 BERT KOUNS LOOPShreveport, LA 71118-3133
Mailing Address2508 Bert Kouns LoopShreveport, LA 71118-3133 · (318) 212-5880 · Fax (318) 212-5885
Phone(318) 212-5880
Fax(318) 212-5885
Organization SubpartNo
Authorized OfficialGreg J GavinNetwork Administrator · (318) 212-4232
Enumeration DateJune 21, 2013
Last NPPES UpdateJune 24, 2013
✔ NPI 1316386436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
2508 BERT KOUNS LOOP, Shreveport, LA 71118
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wk Pediatric Surgical Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Wk Pediatric Surgical Associates, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Donald Sorrells, MD
General Surgery
NPI 1689672172
2508 BERT KOUNS INDUSTRIAL LOOP
Shreveport, LA 71118
(318) 212-5880
✔ PECOSSame address
Kevin Boykin, M.D.
Pediatric Medicine
NPI 1710909163
2508 BERT KOUNS INDUSTRIAL LOOP STE 310
Shreveport, LA 71118
(318) 212-5880
✔ PECOS✔ Accepts Medicare0.1 mi
Mark Brown, M.D.
Pediatric Medicine
NPI 1689672032
2508 BERT KOUNS INDUSTRIAL LOOP STE 310
Shreveport, LA 71118
(318) 212-5880
✔ PECOS✔ Accepts Medicare0.1 mi
Rosaline Darty, AP NP
Nurse Practitioner
NPI 1164430526
1625 DAVID RAINES RD
Shreveport, LA 71107
(318) 425-2252
✔ PECOS✔ Accepts Medicare9.4 mi

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

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 Wk Pediatric Surgical Associates's NPI number?

The NPI number for Wk Pediatric Surgical Associates is 1316386436. It was assigned to this organization in the NPPES registry on June 21, 2013.

Where is Wk Pediatric Surgical Associates located?

Wk Pediatric Surgical Associates is located at 2508 Bert Kouns Loop, Shreveport, LA 71118. The listed phone number is (318) 212-5880.

What is Wk Pediatric Surgical Associates's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Wk Pediatric Surgical Associates enrolled in Medicare?

Yes. Wk Pediatric Surgical Associates is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wk Pediatric Surgical Associates?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Wk Pediatric Surgical Associates, in General Surgery, Nurse Practitioner and Pediatric Medicine. A 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 the clinician's services. Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wk Pediatric Surgical Associates accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Wk Pediatric Surgical Associates 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 Wk Pediatric Surgical Associates was last updated on June 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.