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NORTHWEST LOUISIANA NEPHROLOGY, LLC
NPI 1669416491
Internal Medicine - Nephrology in Shreveport, LA

Active since June 15, 2006CLIA Certified · 2 labs
1800 BUCKNER ST, SUITE C120, SHREVEPORT, LA 71101(318) 227-8899(318) 222-0407 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 12, 2026, Apr 11, 2024 (2 updates tracked since 2024).

About Northwest Louisiana Nephrology, Llc NPPES

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

NORTHWEST LOUISIANA NEPHROLOGY, LLC (NPI 1669416491) is a healthcare organization registered as a nephrology in Shreveport, Louisiana and active in the NPI registry since June 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Shreveport, and lists Sreedhara B Alla, Md, as its authorized official.

NPPES Registry Identity

NPI1669416491
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameNORTHWEST LOUISIANA NEPHROLOGY, LLC
Location Address1800 BUCKNER ST, SUITE C120Shreveport, LA 71101-4440
Mailing Address1800 Buckner St Ste C120Shreveport, LA 71101-4453 · (318) 227-8899 · Fax (318) 222-0407
Phone(318) 227-8899
Fax(318) 222-0407
Organization SubpartNo
Authorized OfficialSreedhara B AllaMd · (318) 227-8899
Enumeration DateJune 15, 2006
Last NPPES UpdateMarch 12, 20262 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
✔ NPI 1669416491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

1800 BUCKNER ST, Shreveport, LA 71101
Open in Google Maps ↗

Secondary Practice Location 1

Location 12501 Greenwood Rd Ste C-120Shreveport, LA 71103-3905 · Phone (318) 631-1584 · Fax (318) 635-8322

Other Identifiers 1

Medicaid1941255LA

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 Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 19D0862383

Northwest Louisiana Nephrology LLC · Shreveport, LA
Active · expires Aug 31, 2026
CLIA Number19D0862383
Laboratory TypeOther
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSreedhara B. Alla
Laboratory Phone(318) 227-8899
Laboratory LocationNorthwest Louisiana Nephrology LLC2501 Greenwood Road, Shreveport, LA 71103
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Accreditation 19D0862382

Northwest Louisiana Nephrology LLC · Shreveport, LA
Active · expires Oct 31, 2026
CLIA Number19D0862382
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2024
Certificate Expiration DateOctober 31, 2026
Laboratory DirectorSreedhara B. Alla
Laboratory Phone(318) 220-9792
Laboratory LocationNorthwest Louisiana Nephrology LLC1800 Buckner Street, Suite C-120, Shreveport, LA 71101
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

BETTY LYNETTE CRAIN PTA
Physical Therapy Assistant
1800 BUCKNER ST, SUITE C200
SHREVEPORT, LA 71101
Caddo Parish (318) 227-2009
DR. MICHAEL D ROKAW MD
Internal Medicine (Nephrology)
1800 BUCKNER ST, STE C120
SHREVEPORT, LA 71101
Caddo Parish (318) 227-8899
DELTA MEDICAL SERVICES
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
1800 BUCKNER ST, SUITE B210
SHREVEPORT, LA 71101
Caddo Parish (318) 459-1600
MRS. AUDREY RACHAL SMITH NP
Nurse Practitioner
1800 BUCKNER ST, SUITE C-120
SHREVEPORT, LA 71101
Caddo Parish (318) 227-8899
DR. SREEDHARA BABU ALLA M.D.
Internal Medicine (Nephrology)
1800 BUCKNER ST, SUITE C120
SHREVEPORT, LA 71101
Caddo Parish (318) 227-8899
DR. LEONARD VINCENT MASTRODOMENICO M.D.
Radiology (Diagnostic Radiology)
1800 BUCKNER ST
SHREVEPORT, LA 71101
Caddo Parish (318) 222-1149
MRS. CHARLOTTE WRIGHT HERRING
Speech-Language Pathologist
1800 BUCKNER ST, C-200
SHREVEPORT, LA 71101
Caddo Parish (318) 227-9002
DR. ERNEST L COWGER JR. PHD
Marriage & Family Therapist
1800 BUCKNER ST, SUITE C200
SHREVEPORT, LA 71101
Caddo Parish (318) 227-9002

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 Northwest Louisiana Nephrology, LLC's NPI number?

The NPI number for Northwest Louisiana Nephrology, LLC is 1669416491. It was assigned to this organization in the NPPES registry on June 15, 2006.

Where is Northwest Louisiana Nephrology, LLC located?

Northwest Louisiana Nephrology, LLC is located at 1800 Buckner St Suite C120, Shreveport, LA 71101. The listed phone number is (318) 227-8899.

What is Northwest Louisiana Nephrology, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Does Northwest Louisiana Nephrology, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Northwest Louisiana Nephrology, LLC 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 1 other insurer list Northwest Louisiana Nephrology, LLC 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 Northwest Louisiana Nephrology, LLC was last updated on March 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.