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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: November 01, 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
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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)

Advanced Cardiovascular Specialists is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

23

Medicare enrollment records show 23 clinicians reassign Medicare billing to Advanced Cardiovascular Specialists, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Cardiovascular Disease (Cardiology)11
Nurse Practitioner9
Interventional Cardiology2
Cardiac Electrophysiology1

Nearest to this location (20)

See all 23
Ralph Baucum, M.D.
Cardiovascular Disease (Cardiology)
NPI 1295735793
1453 E BERT KOUN LOOP STE 112
Shreveport, LA 71105
(318) 222-3695
✔ PECOS✔ Accepts MedicareSame address
Michael Gooszen, M.D.
Cardiovascular Disease (Cardiology)
NPI 1184624686
1453 E BERT KOUN LOOP SUITE 112
Shreveport, LA 71105
(318) 798-9400
✔ PECOS✔ Accepts MedicareSame address
William Haynie, M.D.
Cardiovascular Disease (Cardiology)
NPI 1588664080
1453 E BERT KOUN LOOP STE 112
Shreveport, LA 71105
(318) 798-9400
✔ PECOS✔ Accepts MedicareSame address
Albert Krause, M.D.
Cardiovascular Disease (Cardiology)
NPI 1093715591
1453 E BERT KOUN LOOP SUITE 112
Shreveport, LA 71105
(318) 798-9400
✔ PECOS✔ Accepts MedicareSame address
Eric Reeves, M.D.
Cardiovascular Disease (Cardiology)
NPI 1710060280
1453 E BERT KOUN LOOP STE 112
Shreveport, LA 71105
(318) 798-9400
✔ PECOS✔ Accepts MedicareSame address
Amanda Lewis, FNP-C
Nurse Practitioner
NPI 1518450105
1453 E BERT KOUN LOOP STE 112
Shreveport, LA 71105
(318) 798-9400
✔ PECOS✔ Accepts Medicare0.1 mi
Jennifer Stewart, NP
Nurse Practitioner
NPI 1336994128
1453 E BERT KOUNS INDUSTRIAL LOOP STE 112
Shreveport, LA 71105
(318) 798-9400
✔ PECOS✔ Accepts Medicare0.1 mi
Christina Barnes
Nurse Practitioner
NPI 1831742147
1453 E BERT KOUN LOOP STE 112
Shreveport, LA 71105
(318) 798-9400
✔ PECOS✔ Accepts Medicare1.7 mi
Paul Davis, M.D.
Cardiovascular Disease (Cardiology)
NPI 1760472419
1453 E BERT KOUN LOOP STE 112
Shreveport, LA 71105
(318) 798-9400
✔ PECOS✔ Accepts Medicare1.7 mi
Russell Fileccia, M.D.
Cardiovascular Disease (Cardiology)
NPI 1164412789
1453 E BERT KOUN LOOP STE 112
Shreveport, LA 71105
(318) 798-9400
✔ PECOS✔ Accepts Medicare1.7 mi
Pavan Katikaneni, MD
Interventional Cardiology
NPI 1568639730
1453 E BERT KOUN LOOP STE 112
Shreveport, LA 71105
(318) 798-9400
✔ PECOS✔ Accepts Medicare1.7 mi
James Smith, M.D.
Cardiovascular Disease (Cardiology)
NPI 1881684256
1453 E BERT KOUN LOOP STE 112
Shreveport, LA 71105
(318) 798-9400
✔ PECOS✔ Accepts Medicare1.7 mi
Ray Smith, M.D.
Cardiovascular Disease (Cardiology)
NPI 1851375349
1453 E BERT KOUN LOOP STE 112
Shreveport, LA 71105
(318) 798-9400
✔ PECOS✔ Accepts Medicare1.7 mi
Srikar Veerareddy, M.D.
Cardiovascular Disease (Cardiology)
NPI 1871512954
1453 E BERT KOUN LOOP STE 112
Shreveport, LA 71105
(318) 798-9400
✔ PECOS✔ Accepts Medicare1.7 mi
Michael Walton, M.D.
Cardiovascular Disease (Cardiology)
NPI 1255321881
1453 E BERT KOUN LOOP STE 112
Shreveport, LA 71105
(318) 798-9400
✔ PECOS✔ Accepts Medicare1.7 mi
Sherman Wiggins, M.D.
Cardiac Electrophysiology
NPI 1063402717
1453 E BERT KOUN LOOP STE 112
Shreveport, LA 71105
(318) 798-9400
✔ PECOS✔ Accepts Medicare1.7 mi
Zachary Wilson, AGAC-NP
Nurse Practitioner
NPI 1912638271
1453 E BERT KOUN LOOP STE 112
Shreveport, LA 71105
(318) 223-5777
✔ PECOS✔ Accepts Medicare1.7 mi
Kristen Keener, AG-ACNP
Nurse Practitioner
NPI 1417479262
2600 GREENWOOD RD
Shreveport, LA 71103
(316) 212-4000
✔ PECOS✔ Accepts Medicare5.4 mi
Alex Stewart, AG-ACNP
Nurse Practitioner
NPI 1063963890
2727 HEARNE AVE STE 300
Shreveport, LA 71103
(318) 795-4607
✔ PECOS✔ Accepts Medicare5.5 mi
Elizabeth Willis, NP
Nurse Practitioner
NPI 1083817969
2727 HEARNE AVE SUITE 300
Shreveport, LA 71103
(318) 798-9400
✔ PECOS5.5 mi
See all 23 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

Is Advanced Cardiovascular Specialists enrolled in Medicare?

Yes. Advanced Cardiovascular Specialists is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Cardiovascular Specialists?

According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 4 Medicare specialties reassign their Medicare billing to Advanced Cardiovascular Specialists. 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. The largest specialties are Cardiovascular Disease (Cardiology) (11), Nurse Practitioner (9) and Interventional Cardiology (2). Of these, 5 practice at this address and 20 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 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 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.