JOHN SELLORIQUEZ
NPI 1609561505
Family Medicine in Shreveport, LA
About John Selloriquez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN SELLORIQUEZ (NPI 1609561505) is an individual family medicine provider in Shreveport, Louisiana, licensed in Louisiana (351663) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Lake Charles, and is a graduate of Louisiana State University School Of Medicine In Shreveport (2023).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John Selloriquez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show John Selloriquez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Shreveport, LA 71103
- Reassigned Medicare billing, Louisiana enrollment
- 1,167 clinicians in this Medicare group
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.
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.
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 John Selloriquez's NPI number?
The NPI number for John Selloriquez is 1609561505. It was assigned to this individual provider in the NPPES registry on April 6, 2023.
Where is John Selloriquez located?
John Selloriquez practices at 1541 Kings Hwy, Shreveport, LA 71103. The listed phone number is (318) 212-9440.
What is John Selloriquez's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is John Selloriquez enrolled in Medicare?
Yes. John Selloriquez is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for John Selloriquez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Selloriquez reassigns Medicare benefits to Lsu Health Sciences Center Shreveport Faculty Group Practice (Shreveport, LA). The 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 John Selloriquez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for John Selloriquez was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.
# John Selloriquez · NPI 1609561505
Family Medicine physician in Shreveport, Louisiana. Individual provider, active in the CMS NPPES registry since April 6, 2023.
## Identity
- **NPI:** 1609561505 (Entity type: Individual)
- **Enumerated:** April 6, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 351663 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1541 KINGS HWY, Shreveport, LA 71103-4228
- **Phone:** (318) 212-9440
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lsu Health Sciences Center Shreveport Faculty Group Practice (NPI 1013374222, Shreveport, LA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Louisiana State University School Of Medicine In Shreveport, class of 2023
## Record status
- **NPPES last updated:** September 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1609561505) · Data from the CMS NPPES public registry.