WK CENTER FOR PEDIATRIC GASTROENTEROLOGY
NPI 1720620784
Pediatrics - Pediatric Gastroenterology in Shreveport, LA

Q: What is Wk Center For Pediatric Gastroenterology's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Active since October 11, 2019

WK CENTER FOR PEDIATRIC GASTROENTEROLOGY, 2530 BERT KOUNS INDUSTRIAL LOOP, STE 113, SHREVEPORT, LA 71118(318) 212-5811(318) 212-5844 Get Directions Write a Review

NPPES record last updated: October 11, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Wk Center For Pediatric Gastroenterology NPPES

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

WK CENTER FOR PEDIATRIC GASTROENTEROLOGY (NPI 1720620784) is a healthcare organization registered as a pediatric gastroenterology in Shreveport, Louisiana and active in the NPI registry since October 2019. The organization lists Mary Jane Ward, Senior Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1720620784

Entity TypeOrganization

Primary Taxonomy2080P0206X

Legal Business NameWK CENTER FOR PEDIATRIC GASTROENTEROLOGY

Location AddressWK CENTER FOR PEDIATRIC GASTROENTEROLOGY, 2530 BERT KOUNS INDUSTRIAL LOOP, STE 113Shreveport, LA 71118

Mailing AddressWk Center For Pediatric Gastroenterology, 2530 Bert Kouns Industrial Loop, Ste 113Shreveport, LA 71118 · (318) 212-5811 · Fax (318) 212-5844

Phone(318) 212-5811

Fax(318) 212-5844

Organization SubpartNo

Authorized OfficialMary Jane WardSenior Vp Finance · (318) 212-8951

Enumeration DateOctober 11, 2019

✔ NPI 1720620784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0206X

Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

WK CENTER FOR PEDIATRIC GASTROENTEROLOGY, Shreveport, LA 71118

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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 Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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)

Wk Center For Pediatric Gastroenterology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Wk Center For Pediatric Gastroenterology, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Charles Otu Nyarko, M.D

Pediatric Medicine

NPI 1245487404

2508 BERT KOUNS LOOP SUITE 101
Shreveport, LA 71118

(318) 212-5858

✔ PECOSSame address

Sacha Patel, FNP-C

Nurse Practitioner

NPI 1265114136

2508 BERT KOUNS INDUSTRIAL LOOP STE 101
Shreveport, LA 71118

(318) 212-5811

✔ PECOS0.7 mi

Jennifer Tupper, APRN

Nurse Practitioner

NPI 1437711876

2508 BERT KOUNS INDUSTRIAL LOOP STE 101
Shreveport, LA 71118

(318) 212-5811

✔ PECOS0.7 mi

Victor Uko, M.D.

Gastroenterology

NPI 1639348832

2508 BERT KOUNS INDUSTRIAL LOOP STE 101
Shreveport, LA 71118

(318) 212-5811

✔ PECOS0.7 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 Wk Center For Pediatric Gastroenterology's NPI number?

The NPI number for Wk Center For Pediatric Gastroenterology is 1720620784. It was assigned to this organization in the NPPES registry on October 11, 2019.

Where is Wk Center For Pediatric Gastroenterology located?

Wk Center For Pediatric Gastroenterology is located at Wk Center For Pediatric Gastroenterology 2530 Bert Kouns Industrial Loop, Ste 113, Shreveport, LA 71118. The listed phone number is (318) 212-5811.

What is Wk Center For Pediatric Gastroenterology's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Wk Center For Pediatric Gastroenterology enrolled in Medicare?

Yes. Wk Center For Pediatric Gastroenterology is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wk Center For Pediatric Gastroenterology?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Wk Center For Pediatric Gastroenterology, in Gastroenterology, Nurse Practitioner and Pediatric Medicine. 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 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wk Center For Pediatric Gastroenterology accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Wk Center For Pediatric Gastroenterology 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 Wk Center For Pediatric Gastroenterology was last updated on October 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.