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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SKYLAR AMANDA SOUYOUL M.D.
NPI 1407198690
Dermatology in Shreveport, LA

Active since March 26, 2013Opted out of Medicare · through Mar 31, 2028
8525 LINE AVE, SHREVEPORT, LA 71106(318) 708-9408 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2026, Jul 2, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Skylar Amanda Souyoul M.d. NPPES

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

DR. SKYLAR AMANDA SOUYOUL M.D. (NPI 1407198690) is an individual dermatology provider in Shreveport, Louisiana, licensed in Louisiana (302310) and active in the NPI registry since March 2013. She has opted out of Medicare through March 31, 2028 and remains eligible to order and refer and maintains a secondary practice location in Ruston.

NPPES Registry Identity

NPI1407198690
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. SKYLAR AMANDA SOUYOULCredential: M.D.
Location Address8525 LINE AVEShreveport, LA 71106-6105
Mailing Address8525 Line AveShreveport, LA 71106-6105 · (318) 708-9408
Phone(318) 708-9408
Sole ProprietorYes
Enumeration DateMarch 26, 2013
Last NPPES UpdateJuly 8, 20264 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1407198690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in LA · 302310
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
8525 LINE AVE, Shreveport, LA 71106
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Secondary Practice Location 1

Location 1911 Tech DrRuston, LA 71270-0701 · Phone (318) 708-9408

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Skylar Amanda Souyoul M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 31, 2022 through March 31, 2028.

Opt-Out Effective DateMarch 31, 2022
Opt-Out In Effect ThroughMarch 31, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71106 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
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
Most-billed visit code 99213
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THOMAS STEEN TRAWICK JR. M.D.
Internal Medicine
8525 LINE AVE, STE A
SHREVEPORT, LA 71106
Caddo Parish (318) 300-4926
SAS CONSULTING, LLC
Dermatology
8525 LINE AVE
SHREVEPORT, LA 71106
Caddo Parish (318) 708-9408

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 Skylar Souyoul's NPI number?

The NPI number for Skylar Souyoul is 1407198690. It was assigned to this individual provider in the NPPES registry on March 26, 2013.

Where is Skylar Souyoul located?

Skylar Souyoul practices at 8525 Line Ave, Shreveport, LA 71106. The listed phone number is (318) 708-9408.

What is Skylar Souyoul's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Skylar Souyoul enrolled in Medicare?

No. Skylar Souyoul has opted out of Medicare through March 31, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Skylar Souyoul was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.