SHRINERS HOSPITALS FOR CHILDREN SHREVEPORT
NPI 1679617849
General Acute Care Hospital - Children in Shreveport, LA

Active since February 19, 2007
3100 SAMFORD AVE, SHREVEPORT, LA 71103(318) 222-5704(318) 424-7610 Get Directions Write a Review

NPPES record last updated: March 7, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shriners Hospitals For Children Shreveport NPPES

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

SHRINERS HOSPITALS FOR CHILDREN SHREVEPORT (NPI 1679617849) is a healthcare organization registered as a children in Shreveport, Louisiana and active in the NPI registry since February 2007. The organization lists Garry Kim Green, Administrator, as its authorized official.

NPPES Registry Identity

NPI1679617849
Entity TypeOrganization
Primary Taxonomy282NC2000X
Legal Business NameSHRINERS HOSPITALS FOR CHILDREN
Location Address3100 SAMFORD AVEShreveport, LA 71103-4239
Mailing AddressShriners Hospitals For Children, P.o. Box 8500, Lockbox #7642Philadelphia, PA 19178-7642 · (813) 281-8657 · Fax (813) 281-8113
Fax(318) 424-7610
Organization SubpartNo
Authorized OfficialGarry Kim GreenAdministrator · (318) 222-5704
Enumeration DateFebruary 19, 2007
Last NPPES UpdateMarch 7, 2014
✔ NPI 1679617849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care Hospital · ChildrenHospitals
Taxonomy Code282NC2000X
License✔ Licensed in LA · 179
3100 SAMFORD AVE, Shreveport, LA 71103

Other Names 1

Other NameShriners Hospitals For Children Shreveport

Other Identifiers 9

Medicaid200341270AOK
Medicaid2700031LA
Other258361LA · Medicare Part B (ptan)
Medicaid3168429TX
Other179LA · Hospital License Number
Medicaid08155267MS
Medicaid149229AL
Medicare OSCAR/certification193301
Medicaid191748105AR

Accepted 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)

Shriners Hospitals For Children Shreveport is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

50

Medicare enrollment records show 50 clinicians reassign Medicare billing to Shriners Hospitals For Children Shreveport, which bills Medicare for the services they deliver. Of these, 42 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 16

Orthopedic Surgery11
Physical Therapist in Private Practice8
Nurse Practitioner7
Diagnostic Radiology3
Maxillofacial Surgery3
Occupational Therapist in Private Practice3
Anesthesiology2
Certified Registered Nurse Anesthetist (CRNA)2
8 other specialties11

Nearest to this location (20)

See all 50
Nurse Practitioner
NPI 1518938703
3100 SAMFORD AVE
Shreveport, LA 71103
(318) 226-3306
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1942041660
3100 SAMFORD AVE
Shreveport, LA 71103
(318) 226-3306
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1104311778
3100 SAMFORD AVE
Shreveport, LA 71103
(318) 226-3306
✔ PECOS0.1 mi
Physical Therapist in Private Practice
NPI 1205594298
3100 SAMFORD AVE
Shreveport, LA 71103
(318) 226-4219
0.1 mi
Physical Therapist in Private Practice
NPI 1720747579
3100 SAMFORD AVE
Shreveport, LA 71103
(318) 222-5704
0.1 mi
Occupational Therapist in Private Practice
NPI 1316286214
3100 SAMFORD AVE
Shreveport, LA 71103
(318) 222-5704
0.1 mi
Physical Therapist in Private Practice
NPI 1306614359
3100 SAMFORD AVE
Shreveport, LA 71103
(318) 222-5704
0.1 mi
Qualified Speech Language Pathologist
NPI 1902449051
3100 SAMFORD AVE
Shreveport, LA 71103
(318) 222-5704
0.1 mi
Orthopedic Surgery
NPI 1740448299
3100 SAMFORD AVE
Shreveport, LA 71103
(318) 226-3306
✔ PECOS0.1 mi
Occupational Therapist in Private Practice
NPI 1336808203
3100 SAMFORD AVE
Shreveport, LA 71103
(318) 222-5704
0.1 mi
Orthopedic Surgery
NPI 1568549574
3100 SAMFORD AVE
Shreveport, LA 71103
(318) 226-3306
✔ PECOS0.1 mi
Occupational Therapist in Private Practice
NPI 1427834951
3100 SAMFORD AVE
Shreveport, LA 71103
(318) 222-5704
0.1 mi
Orthopedic Surgery
NPI 1285298760
3100 SAMFORD AVE
Shreveport, LA 71103
(318) 222-5704
✔ PECOS0.1 mi
Neurosurgery
NPI 1447460415
1501 KINGS HWY DEPARTMENT OF NEUROSURGERY
Shreveport, LA 71103
(318) 675-5000
✔ PECOS✔ Accepts Medicare0.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1801976444
1501 KINGS HWY
Shreveport, LA 71103
(318) 675-5584
✔ Accepts Medicare0.2 mi
Neurosurgery
NPI 1073738613
1501 KINGS HWY
Shreveport, LA 71103
(318) 675-5000
✔ PECOS✔ Accepts Medicare0.2 mi
Internal Medicine
NPI 1871703108
1501 KINGS HWY DEPARTMENT OF MEDICINE PMD
Shreveport, LA 71103
(318) 675-5000
✔ PECOS✔ Accepts Medicare0.2 mi
Maxillofacial Surgery
NPI 1255532842
1501 KINGS HWY DEPARTMENT OF ORAL SURGERY
Shreveport, LA 71103
(318) 675-4881
✔ PECOS0.2 mi
Neurology
NPI 1508064445
1541 KINGS HWY
Shreveport, LA 71103
(318) 626-0000
✔ PECOS0.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1063506673
1541 KINGS HWY
Shreveport, LA 71103
(318) 626-0000
✔ Accepts Medicare0.2 mi
See all 50 clinicians

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 Shriners Hospitals For Children's NPI number?

The NPI number for Shriners Hospitals For Children is 1679617849. It was assigned to this organization in the NPPES registry on February 19, 2007. The provider is also known as Shriners Hospitals For Children Shreveport.

Where is Shriners Hospitals For Children located?

Shriners Hospitals For Children is located at 3100 Samford Ave, Shreveport, LA 71103. The listed phone number is (318) 222-5704.

What is Shriners Hospitals For Children's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Children, with taxonomy code 282NC2000X.

Is Shriners Hospitals For Children enrolled in Medicare?

Yes. Shriners Hospitals For Children is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shriners Hospitals For Children?

According to the CMS Revalidation Reassignment List (October 2026 release), 50 clinicians in 16 Medicare specialties reassign their Medicare billing to Shriners Hospitals For Children. 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 Orthopedic Surgery (11), Physical Therapist in Private Practice (8) and Nurse Practitioner (7). Of these, 42 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Shriners Hospitals For Children accept?

Health plans from CHRISTUS Health Plan list Shriners Hospitals For Children 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 Shriners Hospitals For Children was last updated on March 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.