THE PLASTIC SURGERY CENTER LLP
NPI 1700929874
Surgery - Plastic and Reconstructive Surgery in Shreveport, LA

Active since February 15, 2007
385 BERT KOUNS IND. LOOP, BLDG 100, SHREVEPORT, LA 71106(318) 221-1629 Get Directions Write a Review

NPPES record last updated: October 24, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About The Plastic Surgery Center Llp NPPES

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

THE PLASTIC SURGERY CENTER LLP (NPI 1700929874) is a healthcare organization registered as a plastic and reconstructive surgery in Shreveport, Louisiana and active in the NPI registry since February 2007. The organization lists Forrest Wall, Owner, as its authorized official.

NPPES Registry Identity

NPI1700929874
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameTHE PLASTIC SURGERY CENTER LLP
Location Address385 BERT KOUNS IND. LOOP, BLDG 100Shreveport, LA 71106-8124
Mailing Address385 Bert Kouns Ind. Loop, Bldg 100Shreveport, LA 71106-8124 · (318) 221-1629
Organization SubpartNo
Authorized OfficialForrest WallOwner · (318) 221-1629
Enumeration DateFebruary 15, 2007
Last NPPES UpdateOctober 24, 2007
✔ NPI 1700929874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
385 BERT KOUNS IND. LOOP, BLDG 100, Shreveport, LA 71106

Other Identifiers 1

Medicare PIN5CT13LA

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)

The Plastic Surgery Center Llp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

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 IDO20060120000580Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to The Plastic Surgery Center LLP, which bills Medicare for the services this clinician delivers.

Clinician (1)

Plastic and Reconstructive Surgery
NPI 1699758474
385 BERT KOUNS INDUSTRIAL LOOP STE 100
Shreveport, LA 71106
(318) 221-1629
✔ PECOSSame address

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 The Plastic Surgery Center LLP's NPI number?

The NPI number for The Plastic Surgery Center LLP is 1700929874. It was assigned to this organization in the NPPES registry on February 15, 2007.

Where is The Plastic Surgery Center LLP located?

The Plastic Surgery Center LLP is located at 385 Bert Kouns Ind. Loop, Bldg 100, Shreveport, LA 71106. The listed phone number is (318) 221-1629.

What is The Plastic Surgery Center LLP's specialty?

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

Is The Plastic Surgery Center LLP enrolled in Medicare?

Yes. The Plastic Surgery Center LLP is registered in the Medicare PECOS enrollment system.

When is The Plastic Surgery Center LLP'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 March 31, 2027. 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 The Plastic Surgery Center LLP?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to The Plastic Surgery Center LLP. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does The Plastic Surgery Center LLP accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list The Plastic Surgery Center LLP 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 The Plastic Surgery Center LLP was last updated on October 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.