WALLS MEDICINE CLINIC LLC
NPI 1497937601
Internal Medicine in Shreveport, LA
About Walls Medicine Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WALLS MEDICINE CLINIC LLC (NPI 1497937601) is a healthcare organization registered as an internal medicine in Shreveport, Louisiana and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through June 8, 2028 and lists Wendell E. Wall, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Walls Medicine Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Walls Medicine Clinic LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Shreveport, LA 71101
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 19D0989847
Walls Medical Clinic · Shreveport, LAFrequently 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 Walls Medicine Clinic LLC's NPI number?
The NPI number for Walls Medicine Clinic LLC is 1497937601. It was assigned to this organization in the NPPES registry on November 29, 2007.
Where is Walls Medicine Clinic LLC located?
Walls Medicine Clinic LLC is located at 1801 Fairfield Ave. Ste 200, Shreveport, LA 71101. The listed phone number is (318) 675-1800.
What is Walls Medicine Clinic LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Walls Medicine Clinic LLC enrolled in Medicare?
Yes. Walls Medicine Clinic LLC is registered in the Medicare PECOS enrollment system.
When is Walls Medicine Clinic LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Louisiana, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Walls Medicine Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Walls Medicine Clinic 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Walls Medicine Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 19D0989847) is associated with this NPI, valid through June 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Walls Medicine Clinic LLC accept?
Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Walls Medicine Clinic 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 Walls Medicine Clinic LLC was last updated on November 9, 2018. 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.
# Walls Medicine Clinic Llc · NPI 1497937601
Internal Medicine organization in Shreveport, Louisiana. Organization record, active in the CMS NPPES registry since November 29, 2007.
## Identity
- **NPI:** 1497937601 (Entity type: Organization)
- **Enumerated:** November 29, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Wendell Wall, OWNER
## Practice location
- **Address:** 1801 FAIRFIELD AVE. STE 200, Shreveport, LA 71101
- **Phone:** (318) 675-1800 · **Fax:** (318) 675-1818
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Louisiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 9, 2018
- **Other identifiers:** Medicaid 1663841 (LA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1497937601) · Data from the CMS NPPES public registry.