1. Home
  2. Directory
  3. Louisiana
  4. Shreveport
  5. Internal Medicine
  6. NPI Profile

ADVANCED CARDIOVASCULAR SPECIALISTS
NPI 1881127090
Internal Medicine - Cardiovascular Disease in Shreveport, LA

Active since April 05, 2017CLIA 19D2104428 · Waiver
1453 E BERT KOUN LOOP, STE 112, SHREVEPORT, LA 71105(318) 798-9400 Get Directions Write a Review

NPPES record last updated: May 11, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Advanced Cardiovascular Specialists NPPES

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

ADVANCED CARDIOVASCULAR SPECIALISTS (NPI 1881127090) is a healthcare organization registered as a cardiovascular disease in Shreveport, Louisiana and active in the NPI registry since April 2017. The organization holds a CLIA Waiver certificate valid through November 3, 2027 and lists Thomas A Brown, President, as its authorized official.

NPPES Registry Identity

NPI1881127090
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameADVANCED CARDIOVASCULAR SPECIALISTS
Location Address1453 E BERT KOUN LOOP, STE 112Shreveport, LA 71105-6800
Mailing AddressPo Box 51008Shreveport, LA 71135-1008 · (318) 798-9400
Phone(318) 798-9400
Organization SubpartNo
Authorized OfficialThomas A BrownPresident · (318) 798-9400
Enumeration DateApril 5, 2017
Last NPPES UpdateMay 11, 2017
✔ NPI 1881127090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1453 E BERT KOUN LOOP, Shreveport, LA 71105
Open in Google Maps ↗

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 Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2104428

Advanced Cardiovascular Specialists, LLC · Shreveport, LA
Active · expires Nov 3, 2027
CLIA Number19D2104428
Laboratory TypePhysician Office
Certificate Effective DateNovember 4, 2025
Certificate Expiration DateNovember 3, 2027
Laboratory DirectorRalph W. Baucum
Laboratory Phone(318) 798-9400
Laboratory LocationAdvanced Cardiovascular Specialists, LLC1453 E Bert Kouns Ste 112, Shreveport, LA 71105
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALBERT NOLEN KRAUSE M.D.
Internal Medicine (Cardiovascular Disease)
1453 E BERT KOUN LOOP, SUITE 112
SHREVEPORT, LA 71105
Caddo Parish (318) 798-9400
MICHAEL DOUGLAS BOYD RN
Registered Nurse
1453 E BERT KOUN LOOP
SHREVEPORT, LA 71105
Caddo Parish (318) 681-5000
DR. MICHAEL HENRY GOOSZEN M.D.
Internal Medicine (Cardiovascular Disease)
1453 E BERT KOUN LOOP, SUITE 112
SHREVEPORT, LA 71105
Caddo Parish (318) 798-9400
NATALIE MOFFIT AG-ACNP
Nurse Practitioner (Acute Care)
1453 E BERT KOUN LOOP
SHREVEPORT, LA 71105
Caddo Parish (318) 681-4500
TARRAYAH LATONYA BROOKS APRN
Nurse Practitioner (Acute Care)
1453 E BERT KOUN LOOP
SHREVEPORT, LA 71105
Caddo Parish (318) 681-5503
DR. RALPH WILLARD BAUCUM III M.D.
Internal Medicine (Cardiovascular Disease)
1453 E BERT KOUN LOOP, STE 112
SHREVEPORT, LA 71105
Caddo Parish (318) 222-3695
DR. WILLIAM HOWARD HAYNIE JR. M.D.
Internal Medicine (Cardiovascular Disease)
1453 E BERT KOUN LOOP, STE 112
SHREVEPORT, LA 71105
Caddo Parish (318) 798-9400
ABIMBOLA OMOTEHINSE
Registered Nurse
1453 E BERT KOUN LOOP
SHREVEPORT, LA 71105
Caddo Parish (318) 934-8461

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 Advanced Cardiovascular Specialists's NPI number?

The NPI number for Advanced Cardiovascular Specialists is 1881127090. It was assigned to this organization in the NPPES registry on April 5, 2017.

Where is Advanced Cardiovascular Specialists located?

Advanced Cardiovascular Specialists is located at 1453 E Bert Koun Loop Ste 112, Shreveport, LA 71105. The listed phone number is (318) 798-9400.

What is Advanced Cardiovascular Specialists's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Advanced Cardiovascular Specialists hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2104428) is associated with this NPI, valid through November 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Advanced Cardiovascular Specialists accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Advanced Cardiovascular Specialists 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 Advanced Cardiovascular Specialists was last updated on May 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.