SHRINERS HOSPITALS FOR CHILDREN SHREVEPORT
Medicare Clinicians for 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

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

Clinicians Billing Medicare Through This Organization CMS

Clinicians who reassign their Medicare billing to this organization, per CMS enrollment records.

Shriners Hospitals For Children Shreveport in Shreveport, LA bills Medicare for 50 clinicians across 16 Medicare specialties. The largest specialties are Orthopedic Surgery with 11, Physical Therapist in Private Practice with 8 and Nurse Practitioner with 7. Of these, 42 practice within 10 miles. Search by name or filter by specialty; each name links to that clinician's NPI profile.

50Clinicians
16Medicare specialties
35PECOS enrolled
19Accept Medicare
50 clinicians in 16 specialties

Orthopedic Surgery (11)

Orthopedic Surgery
NPI 1740448299
3100 SAMFORD AVE
Shreveport, LA 71103
(318) 226-3306
✔ PECOS0.1 mi
Orthopedic Surgery
NPI 1568549574
3100 SAMFORD AVE
Shreveport, LA 71103
(318) 226-3306
✔ PECOS0.1 mi
Orthopedic Surgery
NPI 1285298760
3100 SAMFORD AVE
Shreveport, LA 71103
(318) 222-5704
✔ PECOS0.1 mi
Orthopedic Surgery
NPI 1285833129
3100 SAMFORD AVE
Shreveport, LA 71103
(318) 226-3306
✔ PECOS0.1 mi
Orthopedic Surgery
NPI 1750558953
1541 KINGS HWY
Shreveport, LA 71103
(318) 212-9440
✔ PECOS✔ Accepts Medicare0.2 mi
Orthopedic Surgery
NPI 1275064560
1541 KINGS HWY
Shreveport, LA 71103
(318) 626-0000
✔ PECOS0.2 mi
Orthopedic Surgery
NPI 1245268762
7925 YOUREE DR SUITE 200
Shreveport, LA 71105
(318) 798-6700
✔ PECOS✔ Accepts Medicare4.3 mi
Orthopedic Surgery
NPI 1417943440
7925 YOUREE DR SUITE 220
Shreveport, LA 71105
(318) 424-3400
✔ PECOS✔ Accepts Medicare4.3 mi
Orthopedic Surgery
NPI 1487658241
2905 N POINTE DR
Shreveport, LA 71106
(318) 426-9985
✔ PECOS9.1 mi
Orthopedic Surgery
NPI 1740341544
5153 N 9TH AVE PEDIATRIC OFFICE BUILDING
Pensacola, FL 32504
(850) 416-1575
✔ PECOS410 mi
Orthopedic Surgery
NPI 1700049699
2450 OLD MILTON PKWY STE 204
Alpharetta, GA 30009
(470) 267-0190
✔ PECOS✔ Accepts Medicare559 mi

Physical Therapist in Private Practice (8)

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
Physical Therapist in Private Practice
NPI 1306614359
3100 SAMFORD AVE
Shreveport, LA 71103
(318) 222-5704
0.1 mi
Physical Therapist in Private Practice
NPI 1285934620
3100 SAMFORD AVE
Shreveport, LA 71103
(318) 222-5704
0.1 mi
Physical Therapist in Private Practice
NPI 1356641799
3100 SAMFORD AVE
Shreveport, LA 71103
(318) 222-5704
0.1 mi
Physical Therapist in Private Practice
NPI 1871148346
403 E FLOURNOY LUCAS RD
Shreveport, LA 71115
(318) 758-3500
6.3 mi
Physical Therapist in Private Practice
NPI 1528944147
9699 W SAMPLE RD
Coral Springs, FL 33065
(954) 344-7771
919 mi
Physical Therapist in Private Practice
NPI 1700773371
2080 36TH AVE SW STE 110
Minot, ND 58701
(701) 222-3175
1,154 mi

Nurse Practitioner (7)

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
Nurse Practitioner
NPI 1679889224
3100 SAMFORD AVE
Shreveport, LA 71103
(318) 226-3306
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1245809185
2727 HEARNE AVE STE 320
Shreveport, LA 71103
(318) 212-6797
✔ PECOS✔ Accepts Medicare1.4 mi
Nurse Practitioner
NPI 1902519473
403 MONROVIA ST
Shreveport, LA 71106
(318) 617-9970
✔ PECOS1.7 mi
Nurse Practitioner
NPI 1215339007
8200 DODGE ST
Omaha, NE 68114
(402) 955-6092
✔ PECOS618 mi

Diagnostic Radiology (3)

Diagnostic Radiology
NPI 1871689307
1501 KINGS HWY DEPARTMENT OF RADIOLOGY
Shreveport, LA 71130
(318) 675-5000
✔ PECOS✔ Accepts Medicare3.0 mi
Diagnostic Radiology
NPI 1811030174
7330 FERN AVE SUITE 402
Shreveport, LA 71105
(318) 221-2535
✔ PECOS3.6 mi
Diagnostic Radiology
NPI 1548264211
2105 AIRLINE DR
Bossier City, LA 71111
(318) 741-6078
✔ PECOS✔ Accepts Medicare4.6 mi

Maxillofacial Surgery (3)

Maxillofacial Surgery
NPI 1255532842
1501 KINGS HWY DEPARTMENT OF ORAL SURGERY
Shreveport, LA 71103
(318) 675-4881
✔ PECOS0.2 mi
Maxillofacial Surgery
NPI 1417981739
2508 BERT KOUNS INDUSTRIAL LOOP
Shreveport, LA 71118
(318) 212-5254
✔ PECOS✔ Accepts Medicare6.0 mi
Maxillofacial Surgery
NPI 1558688309
2508 BERT KOUNS INDUSTRIAL LOOP STE 410
Shreveport, LA 71118
(318) 212-5944
✔ PECOS✔ Accepts Medicare6.0 mi

Occupational Therapist in Private Practice (3)

Occupational Therapist in Private Practice
NPI 1316286214
3100 SAMFORD AVE
Shreveport, LA 71103
(318) 222-5704
0.1 mi
Occupational Therapist in Private Practice
NPI 1336808203
3100 SAMFORD AVE
Shreveport, LA 71103
(318) 222-5704
0.1 mi
Occupational Therapist in Private Practice
NPI 1427834951
3100 SAMFORD AVE
Shreveport, LA 71103
(318) 222-5704
0.1 mi

Anesthesiology (2)

Anesthesiology
NPI 1083688006
2200 BERGQUIST DR LACKLAND AIR FORCE BASE
Lackland A F B, TX 78236
(210) 292-7956
✔ PECOS✔ Accepts Medicare359 mi
Anesthesiology
NPI 1881911881
231 E CHESTNUT ST
Louisville, KY 40202
(502) 629-6000
✔ PECOS601 mi

Certified Registered Nurse Anesthetist (CRNA) (2)

Certified Registered Nurse Anesthetist (CRNA)
NPI 1801976444
1501 KINGS HWY
Shreveport, LA 71103
(318) 675-5584
✔ Accepts Medicare0.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1063506673
1541 KINGS HWY
Shreveport, LA 71103
(318) 626-0000
✔ Accepts Medicare0.2 mi

Neurosurgery (2)

Neurosurgery
NPI 1447460415
1501 KINGS HWY DEPARTMENT OF NEUROSURGERY
Shreveport, LA 71103
(318) 675-5000
✔ PECOS✔ Accepts Medicare0.2 mi
Neurosurgery
NPI 1073738613
1501 KINGS HWY
Shreveport, LA 71103
(318) 675-5000
✔ PECOS✔ Accepts Medicare0.2 mi

Qualified Speech Language Pathologist (2)

Qualified Speech Language Pathologist
NPI 1902449051
3100 SAMFORD AVE
Shreveport, LA 71103
(318) 222-5704
0.1 mi
Qualified Speech Language Pathologist
NPI 1417199530
10460 PLUM CREEK DR
Shreveport, LA 71106
(318) 797-9694
9.1 mi

Sports Medicine (2)

Sports Medicine
NPI 1275529083
7925 YOUREE DR STE 200
Shreveport, LA 71105
(318) 212-3610
✔ PECOS✔ Accepts Medicare4.3 mi
Sports Medicine
NPI 1821529769
4256 HACIENDA DR STE 100
Pleasanton, CA 94588
(925) 263-0313
✔ PECOS✔ Accepts Medicare

Internal Medicine (1)

Internal Medicine
NPI 1871703108
1501 KINGS HWY DEPARTMENT OF MEDICINE PMD
Shreveport, LA 71103
(318) 675-5000
✔ PECOS✔ Accepts Medicare0.2 mi

Neurology (1)

Neurology
NPI 1508064445
1541 KINGS HWY
Shreveport, LA 71103
(318) 626-0000
✔ PECOS0.2 mi

Oral and Maxillofacial Surgery (1)

Oral and Maxillofacial Surgery
NPI 1427587054
2508 BERT KOUNS INDUSTRIAL LOOP STE 410
Shreveport, LA 71118
(318) 212-5944
✔ PECOS✔ Accepts Medicare6.0 mi

Oral Surgery (1)

Oral Surgery
NPI 1124443064
5718 MARINA BAY DR
Shreveport, LA 71119
(903) 387-0728
✔ PECOS4.6 mi

Rheumatology (1)

Rheumatology
NPI 1588779425
2751 ALBERT L BICKNELL DR SUITE 2E
Shreveport, LA 71103
(318) 635-5682
✔ PECOS✔ Accepts Medicare1.3 mi
No clinicians match the current filters.

About this data

Medicare reassignment. A clinician who works for a hospital, clinic or medical group usually signs a Medicare reassignment (form CMS-855R). It lets the organization bill Medicare for the clinician's services and receive the payment. This page lists the clinicians whose reassignment to Shriners Hospitals For Children Shreveport appears in the CMS Revalidation Reassignment List.

Who is included. Clinicians who bill Medicare under their own NPI through this organization. A clinician can reassign to more than one organization, so the same name may also appear under other groups.

✔ PECOS
Enrolled in Medicare through PECOS, CMS's enrollment system, and eligible to order and refer for Medicare patients.
✔ Accepts Medicare
Accepts Medicare assignment, which means taking the Medicare-approved amount as full payment for covered services.
Same address 4.2 mi
Straight-line distance from this NPI's practice location to the clinician's practice address.

Addresses and phone numbers come from each clinician's own NPPES record, so they may point to another office or to the clinician's own practice.

Source: CMS Revalidation Reassignment List, October 2026 release; addresses, phone numbers and Medicare status from NPPES and PECOS. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.