FORREST P WALL M.D.
NPI 1699758474
Surgery - Plastic and Reconstructive Surgery in Shreveport, LA

Q: What is Forrest Wall's NPI number?

The NPI number for Forrest Wall is 1699758474. It was assigned to this individual provider in the NPPES registry on November 25, 2005.

Q: What is Forrest Wall's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Q: When was this NPI record last updated?

The NPPES record for Forrest Wall was last updated on July 12, 2021. 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.

Active since November 25, 2005PECOS Enrolled

385 BERT KOUNS INDUSTRIAL LOOP STE 100, SHREVEPORT, LA 71106(318) 221-1629(318) 221-6308 Get Directions Write a Review

NPPES record last updated: July 12, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Forrest P Wall M.d. NPPES

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

FORREST P WALL M.D. (NPI 1699758474) is an individual plastic and reconstructive surgery provider in Shreveport, Louisiana, licensed in Louisiana (10089R) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (1992).

NPPES Registry Identity

NPI1699758474

Entity TypeIndividualMale

Primary Taxonomy2086S0122X

Provider Legal NameFORREST P WALLCredential: M.D.

Location Address385 BERT KOUNS INDUSTRIAL LOOP STE 100Shreveport, LA 71106-8159

Mailing Address385 Bert Kouns Industrial Loop Bldg 100Shreveport, LA 71106-8124 · (318) 221-1629

Phone(318) 221-1629

Fax(318) 221-6308

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1992

Enumeration DateNovember 25, 2005

Last NPPES UpdateJuly 12, 2021

NPPES CertifiedJuly 12, 2021

✔ NPI 1699758474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

License✔ Licensed in LA · 10089R

Definition

A surgeon who specializes in plastic and reconstructive surgery.

385 BERT KOUNS INDUSTRIAL LOOP STE 100, Shreveport, LA 71106

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Forrest P Wall M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476577172

PECOS Enrollment IDI20071112000574

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.

Medicare Billing Reassignment

Medicare enrollment records show Forrest Wall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Plastic Surgery Center LLP

Same address

Plastic and Reconstructive Surgery

385 BERT KOUNS IND. LOOP, BLDG 100
Shreveport, LA 71106

Reassigned Medicare billing, Louisiana enrollment

NPI 1700929874 (318) 221-1629

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 Forrest Wall's NPI number?

The NPI number for Forrest Wall is 1699758474. It was assigned to this individual provider in the NPPES registry on November 25, 2005.

Where is Forrest Wall located?

Forrest Wall practices at 385 Bert Kouns Industrial Loop Ste 100, Shreveport, LA 71106. The listed phone number is (318) 221-1629.

What is Forrest Wall's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Forrest Wall enrolled in Medicare?

Yes. Forrest Wall is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Forrest Wall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Forrest Wall reassigns Medicare benefits to The Plastic Surgery Center LLP (Shreveport, LA). The 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 Forrest Wall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Forrest Wall accept?

Health plans from HMO Louisiana list Forrest Wall 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 Forrest Wall was last updated on July 12, 2021. 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.