COLON & RECTAL ASSOCIATES PC
NPI 1699703330
Colon & Rectal Surgery in Shreveport, LA

Active since June 29, 2006CLIA 19D0463389 · Waiver
1811 E BERT KOUNS STE 430, SHREVEPORT, LA 71105(318) 424-8373(318) 424-6477 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Nov 5, 2018, Jun 12, 2018 (3 updates tracked since 2018).

About Colon & Rectal Associates Pc NPPES

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

COLON & RECTAL ASSOCIATES PC (NPI 1699703330) is a healthcare organization registered as a colon & rectal surgery in Shreveport, Louisiana and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists W. Reid Grimes, Vice President, as its authorized official.

NPPES Registry Identity

NPI1699703330
Entity TypeOrganization
Primary Taxonomy208C00000X
Legal Business NameCOLON & RECTAL ASSOCIATES PC
Location Address1811 E BERT KOUNS STE 430Shreveport, LA 71105-5741
Mailing Address1811 E Bert Kouns Ste 430Shreveport, LA 71105-5741 · (318) 424-8373 · Fax (318) 424-6477
Fax(318) 424-6477
Organization SubpartNo
Authorized OfficialW. Reid GrimesVice President · (318) 424-8373
Enumeration DateJune 29, 2006
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1699703330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
1811 E BERT KOUNS STE 430, Shreveport, LA 71105

Other Identifiers 2

Medicaid071416401TX
Medicaid1107913LA

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

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)

Colon & Rectal Associates Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 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.

StateEnrollment IDDue date
StateLouisianaEnrollment IDO20041215000069Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Colon & Rectal Associates PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Colorectal Surgery (Proctology)
NPI 1003859141
1811 E BERT KOUNS STE 430
Shreveport, LA 71105
(318) 424-8373
✔ PECOS✔ Accepts MedicareSame address
Colorectal Surgery (Proctology)
NPI 1902849011
1811 E BERT KOUNS STE 430
Shreveport, LA 71105
(318) 424-8373
✔ PECOS✔ Accepts Medicare1.2 mi
Colorectal Surgery (Proctology)
NPI 1366897035
1541 KINGS HWY
Shreveport, LA 71103
(318) 626-0000
✔ PECOS✔ Accepts Medicare3.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

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 of Waiver 19D0463389

Colon & Rectal Associates · Shreveport, LA
Active · expires Aug 31, 2028
CLIA Number19D0463389
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorPhilip A. Cole, MD
Laboratory Phone(318) 424-8373
Laboratory LocationColon & Rectal Associates1801 Fairfield Ave Suite 401, Shreveport, LA 71101
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Colon & Rectal Associates PC's NPI number?

The NPI number for Colon & Rectal Associates PC is 1699703330. It was assigned to this organization in the NPPES registry on June 29, 2006.

Where is Colon & Rectal Associates PC located?

Colon & Rectal Associates PC is located at 1811 E Bert Kouns Ste 430, Shreveport, LA 71105. The listed phone number is (318) 424-8373.

What is Colon & Rectal Associates PC's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Colon & Rectal Associates PC enrolled in Medicare?

Yes. Colon & Rectal Associates PC is registered in the Medicare PECOS enrollment system.

When is Colon & Rectal Associates PC'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 October 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 Colon & Rectal Associates PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Colorectal Surgery (Proctology), reassign their Medicare billing to Colon & Rectal Associates PC. 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Colon & Rectal Associates PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D0463389) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Colon & Rectal Associates PC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Colon & Rectal Associates PC 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 Colon & Rectal Associates PC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.