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AYUSHMA SUBEDI
NPI 1417403460
Pediatrics in Shreveport, LA

Active since August 30, 2016PECOS Enrolled
1541 KINGS HWY, SHREVEPORT, LA 71103(318) 626-0000(318) 629-4833 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 11, 2025, Oct 17, 2023, Aug 19, 2019 and 1 more (4 updates tracked since 2016).

About Ayushma Subedi NPPES

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

AYUSHMA SUBEDI (NPI 1417403460) is an individual pediatrics provider in Shreveport, Louisiana, licensed in Minnesota (65045) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Thief River Falls, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1417403460
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameAYUSHMA SUBEDI
Location Address1541 KINGS HWYShreveport, LA 71103-4228
Mailing Address1512 W Kirby PlShreveport, LA 71103-3822
Phone(318) 626-0000
Fax(318) 629-4833
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 30, 2016
Last NPPES UpdateSeptember 11, 20254 updates tracked since enumeration
NPPES CertifiedApril 27, 2022
✔ NPI 1417403460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MN · 65045
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1541 KINGS HWY, Shreveport, LA 71103
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Secondary Practice Location 1

Location 13001 Sanford PkwyThief River Falls, MN 56701-2700 · Phone (218) 683-2725 · Fax (218) 683-2595

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan 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)

Ayushma Subedi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345578316
PECOS Enrollment IDI20250922002994
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

2

Medicare enrollment records show Ayushma Subedi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lsu Health Sciences Center Shreveport Faculty Group Practice
Same address
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
The Vancouver Clinic Inc Ps
1,781 mi
Internal Medicine
700 NE 87TH AVE
Vancouver, WA 98664
  • Reassigned Medicare billing, Washington enrollment
  • 711 clinicians in this Medicare group
NPI 1992759427 (360) 882-2778

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.

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
$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.

PRATIK AGRAWAL
Internal Medicine (Cardiovascular Disease)
1541 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0000
SHAHEENA ANENE
Pediatrics
1541 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0000
UDAY KUMAR CHALWADI
Pediatrics (Pediatric Pulmonology)
1541 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0000
AYA MOUHAFFEL MD
Anesthesiology
1541 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0000
MUHAMMAD AYUB
Psychiatry & Neurology (Neurology)
1541 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0434
RYAN MORRIS
Obstetrics & Gynecology
1541 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0177
JENNIFER B CYPHER PA-C
Physician Assistant
1541 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0000
STEVEN R BAILEY MD
Internal Medicine (Interventional Cardiology)
1541 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0000

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 Ayushma Subedi's NPI number?

The NPI number for Ayushma Subedi is 1417403460. It was assigned to this individual provider in the NPPES registry on August 30, 2016.

Where is Ayushma Subedi located?

Ayushma Subedi practices at 1541 Kings Hwy, Shreveport, LA 71103. The listed phone number is (318) 626-0000.

What is Ayushma Subedi's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Ayushma Subedi enrolled in Medicare?

Yes. Ayushma Subedi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ayushma Subedi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ayushma Subedi reassigns Medicare benefits to 2 organizations: Lsu Health Sciences Center Shreveport Faculty Group Practice (Shreveport, LA) and The Vancouver Clinic Inc Ps (Vancouver, WA). 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 Ayushma Subedi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ayushma Subedi accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Ayushma Subedi 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 Ayushma Subedi was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.