WK RED RIVER CARDIOVASCULAR SURGEONS
NPI 1639314271
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Shreveport, LA
About Wk Red River Cardiovascular Surgeons NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WK RED RIVER CARDIOVASCULAR SURGEONS (NPI 1639314271) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Shreveport, Louisiana and active in the NPI registry since December 2008. The organization lists Greg J. Gavin, Network Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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)
Wk Red River Cardiovascular Surgeons 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
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Wk Red River Cardiovascular Surgeons, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.
Clinicians, nearest first (6)
Shreveport, LA 71103
Shreveport, LA 71103
Shreveport, LA 71103
Shreveport, LA 71103
Shreveport, LA 71103
Shreveport, LA 71103
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 Red River Cardiovascular Surgeons's NPI number?
The NPI number for Wk Red River Cardiovascular Surgeons is 1639314271. It was assigned to this organization in the NPPES registry on December 11, 2008.
Where is Wk Red River Cardiovascular Surgeons located?
Wk Red River Cardiovascular Surgeons is located at 2751 Albert L Bicknell Dr Suite 5C, Shreveport, LA 71103. The listed phone number is (318) 227-9777.
What is Wk Red River Cardiovascular Surgeons's specialty?
The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.
Is Wk Red River Cardiovascular Surgeons enrolled in Medicare?
Yes. Wk Red River Cardiovascular Surgeons is registered in the Medicare PECOS enrollment system.
When is Wk Red River Cardiovascular Surgeons'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 Wk Red River Cardiovascular Surgeons?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Wk Red River Cardiovascular Surgeons. 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 Cardiac Surgery (3), Nurse Practitioner (2) and Thoracic Surgery (1). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Wk Red River Cardiovascular Surgeons accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Wk Red River Cardiovascular Surgeons 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 Red River Cardiovascular Surgeons was last updated on June 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Wk Red River Cardiovascular Surgeons · NPI 1639314271
Thoracic Surgery (Cardiothoracic Vascular Surgery) organization in Shreveport, Louisiana. Organization record, active in the CMS NPPES registry since December 11, 2008.
## Identity
- **NPI:** 1639314271 (Entity type: Organization)
- **Enumerated:** December 11, 2008
- **Primary specialty:** Thoracic Surgery (Cardiothoracic Vascular Surgery) · taxonomy 208G00000X
- **Organization subpart:** No
- **Authorized official:** Greg Gavin, NETWORK ADMINISTRATOR
## Practice location
- **Address:** 2751 ALBERT L BICKNELL DR, SUITE 5C, Shreveport, LA 71103-3920
- **Phone:** (318) 227-9777 · **Fax:** (318) 459-1188
## 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:** 6 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Cardiac Surgery (3), Nurse Practitioner (2), Thoracic Surgery (1); 6 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 8, 2012
- **Other identifiers:** Medicaid 1356531 (LA); Medicare PIN 5DG78 (LA)
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Source: [NPI Profile](https://npiprofile.com/npi/1639314271) · Data from the CMS NPPES public registry.