DR. DAVID RENGIFO MD
NPI 1811485782
Otolaryngology - Plastic Surgery within the Head & Neck in Shreveport, LA

Q: What is David Rengifo's NPI number?

The NPI number for David Rengifo is 1811485782. It was assigned to this individual provider in the NPPES registry on April 26, 2018.

Q: What is David Rengifo's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Q: When was this NPI record last updated?

The NPPES record for David Rengifo was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

Active since April 26, 2018PECOS EnrolledAccepts Medicare Assignment

1541 KINGS HWY, SHREVEPORT, LA 71103(318) 626-0000(318) 629-4833 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 18, 2024, Apr 26, 2018 (2 updates tracked since 2018).

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About Dr. David Rengifo Md NPPES

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

DR. DAVID RENGIFO MD (NPI 1811485782) is an individual plastic surgery within the head & neck provider in Shreveport, Louisiana, licensed in Louisiana (343335) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Ochsner Lsu Health Shreveport, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1811485782

Entity TypeIndividualMale

Primary Taxonomy207YX0007X

Provider Legal NameDR. DAVID RENGIFOCredential: MD

Location Address1541 KINGS HWYShreveport, LA 71103-4228

Mailing Address1541 Kings HwyShreveport, LA 71103-4228

Phone(318) 626-0000

Fax(318) 629-4833

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateApril 26, 2018

Last NPPES UpdateSeptember 18, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2024

✔ NPI 1811485782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians

Taxonomy Code207YX0007X

License✔ Licensed in LA · 343335

Definition

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

Also ListedOtolaryngologyTaxonomy 207Y00000X · License 343335 (LA), U4321 (TX)

Also ListedOtolaryngology · Facial Plastic SurgeryTaxonomy 207YS0123X · License U4321 (TX)

1541 KINGS HWY, Shreveport, LA 71103

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. David Rengifo Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901150929

PECOS Enrollment IDI20240828003721

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ochsner Lsu Health Shreveport

Acute Care Hospitals · Shreveport, LA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190098

Location1541 Kings HighwayShreveport, LA 71103 · Caddo County

Emergency services Birthing friendly

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.

PRATIK AGRAWAL

Internal Medicine (Cardiovascular Disease)