SOFIE M PECCHILLO MD
NPI 1790463156
Student in an Organized Health Care Education/Training Program in Shreveport, LA
About Sofie M Pecchillo Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOFIE M PECCHILLO MD (NPI 1790463156) is an individual student in an organized health care education/training program in Shreveport, Louisiana, licensed in Louisiana (337403) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sofie M Pecchillo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
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 Sofie Pecchillo's NPI number?
The NPI number for Sofie Pecchillo is 1790463156. It was assigned to this individual provider in the NPPES registry on July 6, 2023. The provider is also known as Sofie Malmstroem.
Where is Sofie Pecchillo located?
Sofie Pecchillo practices at 1501 Kings Hwy, Shreveport, LA 71103. The listed phone number is (318) 626-0434.
What is Sofie Pecchillo's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Sofie Pecchillo enrolled in Medicare?
Yes. Sofie Pecchillo is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Sofie Pecchillo was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.
# Sofie M Pecchillo, MD · NPI 1790463156
Student in an Organized Health Care Education/Training Program provider in Shreveport, Louisiana. Individual provider, active in the CMS NPPES registry since July 6, 2023.
## Identity
- **NPI:** 1790463156 (Entity type: Individual)
- **Enumerated:** July 6, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 337403 (Louisiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1501 KINGS HWY, Shreveport, LA 71103-4228
- **Phone:** (318) 626-0434
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** September 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790463156) · Data from the CMS NPPES public registry.