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STAVAN YOGENDRA PATEL DDS, MD
NPI 1558688309
Oral & Maxillofacial Surgery in Shreveport, LA

Active since May 03, 2010PECOS EnrolledAccepts Medicare Assignment
2508 BERT KOUNS INDUSTRIAL LOOP STE 410, SHREVEPORT, LA 71118(318) 212-5944(318) 212-5949 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 21, 2024, May 10, 2023, Sep 22, 2016 (3 updates tracked since 2016).

About Stavan Yogendra Patel Dds, Md NPPES

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

STAVAN YOGENDRA PATEL DDS, MD (NPI 1558688309) is an individual oral & maxillofacial surgery provider in Shreveport, Louisiana, licensed in Louisiana (MD.302913) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Willis Knighton Medical Center, and is a graduate of Columbia University College Of Dental Medicine (2010).

NPPES Registry Identity

NPI1558688309
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameSTAVAN YOGENDRA PATELCredential: DDS, MD
Location Address2508 BERT KOUNS INDUSTRIAL LOOP STE 410Shreveport, LA 71118-3157
Mailing Address2508 Bert Kouns Industrial Loop Ste 410Shreveport, LA 71118-3157 · (318) 212-5944 · Fax (318) 212-5949
Phone(318) 212-5944
Fax(318) 212-5949
Sole ProprietorNo
Medical School CMSColumbia University College Of Dental MedicineGraduated 2010
Enumeration DateMay 3, 2010
Last NPPES UpdateNovember 21, 20243 updates tracked since enumeration
NPPES CertifiedNovember 21, 2024
✔ NPI 1558688309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Licenses✔ Licensed in LA · MD.302913✔ Licensed in TX · U0177
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
2508 BERT KOUNS INDUSTRIAL LOOP STE 410, Shreveport, LA 71118
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stavan Yogendra Patel Dds, Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507161817
PECOS Enrollment IDI20160721001012, I20230519001851
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Willis Knighton Medical Center

Acute Care Hospitals · Shreveport, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190111
Location2600 Greenwood RoadShreveport, LA 71103 · Caddo County
Emergency services Birthing friendly

Christus Good Shepherd Medical Center

Acute Care Hospitals · Longview, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450032
Location700 E Marshall AveLongview, TX 75601 · Gregg County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 3

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

WK ORAL AND MAXILLOFACIAL SURGERY INSTITUTE
Dentist (Oral and Maxillofacial Surgery)
2508 BERT KOUNS INDUSTRIAL LOOP STE 410
SHREVEPORT, LA 71118
Caddo Parish (318) 716-4939
ROSS DAVID BROCKMAN DMD
Oral & Maxillofacial Surgery
2508 BERT KOUNS INDUSTRIAL LOOP STE 410
SHREVEPORT, LA 71118
Caddo Parish (318) 212-5944
MAYANKKUMAR SAMIRKUMAR PATEL
Student in an Organized Health Care Education/Training Program
2508 BERT KOUNS INDUSTRIAL LOOP STE 410
SHREVEPORT, LA 71118
Caddo Parish (318) 212-5944

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 Stavan Patel's NPI number?

The NPI number for Stavan Patel is 1558688309. It was assigned to this individual provider in the NPPES registry on May 3, 2010.

Where is Stavan Patel located?

Stavan Patel practices at 2508 Bert Kouns Industrial Loop Ste 410, Shreveport, LA 71118. The listed phone number is (318) 212-5944.

What is Stavan Patel's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Stavan Patel enrolled in Medicare?

Yes. Stavan Patel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stavan Patel accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 7 other insurers list Stavan Patel 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.

Is Stavan Patel affiliated with any hospitals?

According to CMS data, Stavan Patel is affiliated with Willis Knighton Medical Center and Christus Good Shepherd Medical Center.

When was this NPI record last updated?

The NPPES record for Stavan Patel was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.