ELIZABETH TUCKER MD
NPI 1639564107
Pediatrics in Shreveport, LA

Active since April 01, 2015PECOS Enrolled
1501 KINGS HWY, PEDIATRIC MEDICINE, SHREVEPORT, LA 71103(318) 675-8600(318) 675-8601 Get Directions Write a Review

NPPES record last updated: December 31, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 31, 2020, Sep 4, 2018 (2 updates tracked since 2018).

About Elizabeth Tucker Md NPPES

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

ELIZABETH TUCKER MD (NPI 1639564107) is an individual pediatrics provider in Shreveport, Louisiana, licensed in Alabama (37403) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639564107
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameELIZABETH TUCKERCredential: MD
Location Address1501 KINGS HWY, PEDIATRIC MEDICINEShreveport, LA 71103
Mailing Address16140 Zion Hill RdAndalusia, AL 36421-1421 · (206) 687-2745
Fax(318) 675-8601
Sole ProprietorYes
Enumeration DateApril 1, 2015
Last NPPES UpdateDecember 31, 20202 updates tracked since enumeration
NPPES CertifiedDecember 2, 2020
NPI 1639564107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in AL · 37403
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1501 KINGS HWY, Shreveport, LA 71103

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Elizabeth Tucker Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

New Patient
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

General Practice
1501 KINGS HWY, SUITE 5-303
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY, PSYCHIATRY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103

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 Elizabeth Tucker's NPI number?

The NPI number for Elizabeth Tucker is 1639564107. It was assigned to this individual provider in the NPPES registry on April 1, 2015.

Where is Elizabeth Tucker located?

Elizabeth Tucker practices at 1501 Kings Hwy Pediatric Medicine, Shreveport, LA 71103. The listed phone number is (318) 675-8600.

What is Elizabeth Tucker's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Elizabeth Tucker enrolled in Medicare?

Yes. Elizabeth Tucker is registered in the Medicare PECOS enrollment system.

What insurance does Elizabeth Tucker accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Elizabeth Tucker 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 Elizabeth Tucker was last updated on December 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.