1. Home
  2. Directory
  3. Louisiana
  4. Shreveport
  5. Family Medicine
  6. NPI Profile

WK PINES ROAD FAMILY MEDICINE
NPI 1629210042
Family Medicine in Shreveport, LA

Active since March 31, 2009
9111 SUSAN DR, SHREVEPORT, LA 71118(318) 212-5969(318) 212-5979 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Wk Pines Road Family Medicine NPPES

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

WK PINES ROAD FAMILY MEDICINE (NPI 1629210042) is a healthcare organization registered as a family medicine in Shreveport, Louisiana and active in the NPI registry since March 2009. The organization lists Mary J. Ward, Sr Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1629210042
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWK PINES ROAD FAMILY MEDICINE
Location Address9111 SUSAN DRShreveport, LA 71118-3136
Mailing Address9111 Susan DrShreveport, LA 71118-3136 · (318) 212-5969 · Fax (318) 212-5979
Phone(318) 212-5969
Fax(318) 212-5979
Organization SubpartNo
Authorized OfficialMary J. WardSr Vp Finance · (318) 716-4939
Enumeration DateMarch 31, 2009
Last NPPES UpdateMarch 5, 2026
NPPES CertifiedMarch 5, 2026
✔ NPI 1629210042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9111 SUSAN DR, Shreveport, LA 71118
Open in Google Maps ↗

Other Identifiers 1

Medicaid1954306LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.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)

Wk Pines Road Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Wk Pines Road Family Medicine, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Peter Klucar, MD
Family Practice
NPI 1104322833
9111 SUSAN DR
Shreveport, LA 71118
(318) 212-5969
✔ PECOS✔ Accepts MedicareSame address
Celeste Carter, FNP-C
Nurse Practitioner
NPI 1881394427
9111 SUSAN DR
Shreveport, LA 71118
(318) 687-5500
✔ PECOS✔ Accepts MedicareSame address
Kaytlin Hughes, FNP-C
Nurse Practitioner
NPI 1619490166
6821 PINES RD STE 100
Shreveport, LA 71129
(318) 687-5500
✔ PECOS✔ Accepts Medicare4.9 mi
James May, MD
Family Practice
NPI 1255361879
6821 PINES RD SUITE 100
Shreveport, LA 71129
(318) 687-5500
✔ PECOS✔ Accepts Medicare4.9 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 Wk Pines Road Family Medicine's NPI number?

The NPI number for Wk Pines Road Family Medicine is 1629210042. It was assigned to this organization in the NPPES registry on March 31, 2009.

Where is Wk Pines Road Family Medicine located?

Wk Pines Road Family Medicine is located at 9111 Susan Dr, Shreveport, LA 71118. The listed phone number is (318) 212-5969.

What is Wk Pines Road Family Medicine's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Wk Pines Road Family Medicine enrolled in Medicare?

Yes. Wk Pines Road Family Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wk Pines Road Family Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Wk Pines Road Family Medicine, in Family Practice and Nurse Practitioner. 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. Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wk Pines Road Family Medicine accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Wk Pines Road Family Medicine 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 Wk Pines Road Family Medicine was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.