CAPITOL CITY FAMILY HEALTH CENTER, INCORPORATED
NPI 1962154542
Clinic/Center - Federally Qualified Health Center (FQHC) in Shreveport, LA
About Capitol City Family Health Center, Incorporated NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAPITOL CITY FAMILY HEALTH CENTER, INCORPORATED (NPI 1962154542) is a healthcare organization registered as a federally qualified health center (fqhc) in Shreveport, Louisiana and active in the NPI registry since January 2022. The organization lists Matthew Valliere, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Capitol City Family Health Center, Incorporated is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
82Medicare enrollment records show 82 clinicians reassign Medicare billing to Capitol City Family Health Center, Incorporated, which bills Medicare for the services they deliver. Of these, 30 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 14
Nearest to this location (20)
See all 82Shreveport, LA 71105
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 Capitol City Family Health Center, Incorporated's NPI number?
The NPI number for Capitol City Family Health Center, Incorporated is 1962154542. It was assigned to this organization in the NPPES registry on January 25, 2022.
Where is Capitol City Family Health Center, Incorporated located?
Capitol City Family Health Center, Incorporated is located at 8730 Youree Dr Ste A-B, Shreveport, LA 71115. The listed phone number is (318) 408-1505.
What is Capitol City Family Health Center, Incorporated's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Capitol City Family Health Center, Incorporated enrolled in Medicare?
Yes. Capitol City Family Health Center, Incorporated is registered in the Medicare PECOS enrollment system.
When is Capitol City Family Health Center, Incorporated's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Louisiana, Federally Qualified Health Center (FQHC)) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Capitol City Family Health Center, Incorporated?
According to the CMS Revalidation Reassignment List (October 2026 release), 82 clinicians in 14 Medicare specialties reassign their Medicare billing to Capitol City Family Health Center, Incorporated. 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 Nurse Practitioner (40), Gastroenterology (17) and Clinical Social Worker (6). Of these, 30 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Capitol City Family Health Center, Incorporated 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 Capitol City Family Health Center, Incorporated 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 Capitol City Family Health Center, Incorporated was last updated on October 31, 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.
# Capitol City Family Health Center, Incorporated · NPI 1962154542
Federally Qualified Health Center (FQHC) organization in Shreveport, Louisiana. Organization record, active in the CMS NPPES registry since January 25, 2022.
## Identity
- **NPI:** 1962154542 (Entity type: Organization)
- **Enumerated:** January 25, 2022
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Matthew Valliere, CEO
## Practice location
- **Address:** 8730 YOUREE DR STE A-B, Shreveport, LA 71115-2500
- **Phone:** (318) 408-1505 · **Fax:** (318) 408-1506
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Part A, Louisiana, Federally Qualified Health Center (FQHC)) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 82 clinicians in 14 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (40), Gastroenterology (17), Clinical Social Worker (6); 30 practice within 10 miles; [full list](https://npiprofile.com/npi/1962154542/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 31, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1962154542) · Data from the CMS NPPES public registry.