PLASTIC SURGERY OF SHREVEPORT, INC
NPI 1750697314
Plastic Surgery in Shreveport, LA

Active since August 20, 2010
1666 E BERT KOUNS LOOP, STE 145, SHREVEPORT, LA 71105(318) 797-9199(319) 797-9193 Get Directions Write a Review

NPPES record last updated: August 20, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Plastic Surgery Of Shreveport, Inc NPPES

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

PLASTIC SURGERY OF SHREVEPORT, INC (NPI 1750697314) is a healthcare organization registered as a plastic surgery in Shreveport, Louisiana and active in the NPI registry since August 2010. The organization lists Paul M Davis, President, as its authorized official.

NPPES Registry Identity

NPI1750697314
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NamePLASTIC SURGERY OF SHREVEPORT, INC
Location Address1666 E BERT KOUNS LOOP, STE 145Shreveport, LA 71105-5714
Mailing Address1666 East Bert Kouns Ins Loop, Ste 145Shreveport, LA 71105-5718 · (318) 797-9199 · Fax (319) 797-9193
Fax(319) 797-9193
Organization SubpartNo
Authorized OfficialPaul M DavisPresident · (318) 797-9199
Enumeration DateAugust 20, 2010
✔ NPI 1750697314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
1666 E BERT KOUNS LOOP, Shreveport, LA 71105

Other Identifiers 1

Medicare UPIN5U095LA

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Plastic Surgery Of Shreveport, Inc 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 Plastic Surgery Of Shreveport, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Plastic and Reconstructive Surgery
NPI 1306838552
1666 E BERT KOUNS LOOP SUITE 145
Shreveport, LA 71105
(318) 797-9199
✔ PECOS✔ Accepts Medicare11 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 Plastic Surgery Of Shreveport, Inc's NPI number?

The NPI number for Plastic Surgery Of Shreveport, Inc is 1750697314. It was assigned to this organization in the NPPES registry on August 20, 2010.

Where is Plastic Surgery Of Shreveport, Inc located?

Plastic Surgery Of Shreveport, Inc is located at 1666 E Bert Kouns Loop Ste 145, Shreveport, LA 71105. The listed phone number is (318) 797-9199.

What is Plastic Surgery Of Shreveport, Inc's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Plastic Surgery Of Shreveport, Inc enrolled in Medicare?

Yes. Plastic Surgery Of Shreveport, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Plastic Surgery Of Shreveport, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Plastic Surgery Of Shreveport, Inc. 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 Plastic Surgery Of Shreveport, Inc accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Plastic Surgery Of Shreveport, Inc 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 Plastic Surgery Of Shreveport, Inc was last updated on August 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.