OCHSNER LSU HEALTH SHREVEPORT - ST. MARY MEDICAL CENTER, LLC
NPI 1508522558
Obstetrics & Gynecology in Shreveport, LA

Active since November 15, 2021
1 SAINT MARY PL, SHREVEPORT, LA 71101(318) 626-4300 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ochsner Lsu Health Shreveport - St. Mary Medical Center, Llc NPPES

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

OCHSNER LSU HEALTH SHREVEPORT - ST. MARY MEDICAL CENTER, LLC (NPI 1508522558) is a healthcare organization registered as an obstetrics & gynecology in Shreveport, Louisiana and active in the NPI registry since November 2021. The organization lists Vernon Moore, Cfo, as its authorized official.

NPPES Registry Identity

NPI1508522558
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameOCHSNER LSU HEALTH SHREVEPORT - ST. MARY MEDICAL CENTER, LLC
Location Address1 SAINT MARY PLShreveport, LA 71101-4307
Mailing Address1512 W Kirby PlShreveport, LA 71103-3822 · (318) 626-0284
Organization SubpartYes
Authorized OfficialVernon MooreCfo · (318) 626-0990
Enumeration DateNovember 15, 2021
NPPES CertifiedNovember 15, 2021
✔ NPI 1508522558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1 SAINT MARY PL, Shreveport, LA 71101

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ochsner Lsu Health Shreveport - St. Mary Medical Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Ochsner Lsu Health Shreveport - St. Mary Medical Center, LLC, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Otolaryngology
NPI 1417287509
1501 KINGS HWY
Shreveport, LA 71103
(318) 675-6260
✔ PECOS✔ Accepts Medicare1.0 mi
Obstetrics/Gynecology
NPI 1679593636
1541 KINGS HWY
Shreveport, LA 71103
(318) 626-0000
✔ PECOS✔ Accepts Medicare1.1 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1063506673
1541 KINGS HWY
Shreveport, LA 71103
(318) 626-0000
✔ Accepts Medicare1.1 mi
Nephrology
NPI 1760005706
1541 KINGS HWY
Shreveport, LA 71103
(314) 257-8000
✔ PECOS✔ Accepts Medicare1.1 mi
Urology
NPI 1184867533
255 BERT KOUNS INDUSTRIAL LOOP
Shreveport, LA 71106
(318) 683-0411
✔ PECOS✔ Accepts Medicare6.6 mi
Nephrology
NPI 1528083409
1514 JEFFERSON HWY
New Orleans, LA 70121
(504) 842-3907
✔ PECOS✔ Accepts Medicare276 mi
Nephrology
NPI 1144411133
111 E 210TH ST
Bronx, NY 10467
(718) 655-1120
✔ PECOS✔ Accepts Medicare1,242 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 Ochsner Lsu Health Shreveport - St. Mary Medical Center, LLC's NPI number?

The NPI number for Ochsner Lsu Health Shreveport - St. Mary Medical Center, LLC is 1508522558. It was assigned to this organization in the NPPES registry on November 15, 2021.

Where is Ochsner Lsu Health Shreveport - St. Mary Medical Center, LLC located?

Ochsner Lsu Health Shreveport - St. Mary Medical Center, LLC is located at 1 Saint Mary Pl, Shreveport, LA 71101. The listed phone number is (318) 626-4300.

What is Ochsner Lsu Health Shreveport - St. Mary Medical Center, LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Ochsner Lsu Health Shreveport - St. Mary Medical Center, LLC enrolled in Medicare?

Yes. Ochsner Lsu Health Shreveport - St. Mary Medical Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ochsner Lsu Health Shreveport - St. Mary Medical Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 5 Medicare specialties reassign their Medicare billing to Ochsner Lsu Health Shreveport - St. Mary Medical Center, 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 Nephrology (3), Certified Registered Nurse Anesthetist (CRNA) (1) and Obstetrics/Gynecology (1). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ochsner Lsu Health Shreveport - St. Mary Medical Center, LLC was last updated on November 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.