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SHREVEPORT INTERNAL MEDICINE AND PEDIATRICS LLC
NPI 1710041900
Internal Medicine in Shreveport, LA

Active since December 21, 2006
10401 E KINGS HWY, SHREVEPORT, LA 71115(318) 558-0880(318) 562-6354 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shreveport Internal Medicine And Pediatrics Llc NPPES

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

SHREVEPORT INTERNAL MEDICINE AND PEDIATRICS LLC (NPI 1710041900) is a healthcare organization registered as an internal medicine in Shreveport, Louisiana and active in the NPI registry since December 2006. The organization lists Allan S Matriano Lim, Owner, as its authorized official.

NPPES Registry Identity

NPI1710041900
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSHREVEPORT INTERNAL MEDICINE AND PEDIATRICS LLC
Location Address10401 E KINGS HWYShreveport, LA 71115-3227
Mailing Address10401 E Kings HwyShreveport, LA 71115-3227 · (318) 588-0880 · Fax (318) 562-6354
Phone(318) 558-0880
Fax(318) 562-6354
Organization SubpartNo
Authorized OfficialAllan S Matriano LimOwner · (318) 588-0880
Enumeration DateDecember 21, 2006
Last NPPES UpdateSeptember 4, 2024
NPPES CertifiedSeptember 4, 2024
✔ NPI 1710041900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
10401 E KINGS HWY, Shreveport, LA 71115
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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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.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)

Shreveport Internal Medicine And Pediatrics Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shreveport Internal Medicine And Pediatrics LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Allan Matriano-Lim, MD
Internal Medicine
NPI 1649268590
8001 YOUREE DR SUITE 720
Shreveport, LA 71115
(318) 798-9881
✔ PECOS✔ Accepts Medicare1.9 mi

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 Shreveport Internal Medicine And Pediatrics LLC's NPI number?

The NPI number for Shreveport Internal Medicine And Pediatrics LLC is 1710041900. It was assigned to this organization in the NPPES registry on December 21, 2006.

Where is Shreveport Internal Medicine And Pediatrics LLC located?

Shreveport Internal Medicine And Pediatrics LLC is located at 10401 E Kings Hwy, Shreveport, LA 71115. The listed phone number is (318) 558-0880.

What is Shreveport Internal Medicine And Pediatrics LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shreveport Internal Medicine And Pediatrics LLC enrolled in Medicare?

Yes. Shreveport Internal Medicine And Pediatrics LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shreveport Internal Medicine And Pediatrics LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Shreveport Internal Medicine And Pediatrics LLC. 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 Shreveport Internal Medicine And Pediatrics LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Shreveport Internal Medicine And Pediatrics LLC 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 Shreveport Internal Medicine And Pediatrics LLC was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.