ABAKA LLC
NPI 1477106524
Internal Medicine in Shreveport, LA
About Abaka Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ABAKA LLC (NPI 1477106524) is a healthcare organization registered as an internal medicine in Shreveport, Louisiana and active in the NPI registry since July 2019. The organization lists Allan Matriano Lim, Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted 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)
Abaka Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Abaka LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 Abaka LLC's NPI number?
The NPI number for Abaka LLC is 1477106524. It was assigned to this organization in the NPPES registry on July 18, 2019.
Where is Abaka LLC located?
Abaka LLC is located at 3050 Baird Rd, Shreveport, LA 71118. The listed phone number is (318) 688-1010.
What is Abaka LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Abaka LLC enrolled in Medicare?
Yes. Abaka LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Abaka LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Abaka LLC. 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. The largest specialties are Nurse Practitioner (4), Family Practice (1) and Internal Medicine (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Abaka LLC 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 Abaka LLC 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 Abaka LLC was last updated on July 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Abaka Llc · NPI 1477106524
Internal Medicine organization in Shreveport, Louisiana. Organization record, active in the CMS NPPES registry since July 18, 2019.
## Identity
- **NPI:** 1477106524 (Entity type: Organization)
- **Enumerated:** July 18, 2019
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Allan Matriano Lim, MEMBER
## Practice location
- **Address:** 3050 BAIRD RD, Shreveport, LA 71118-3818
- **Phone:** (318) 688-1010
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Family Practice (1), Internal Medicine (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 18, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1477106524) · Data from the CMS NPPES public registry.