WK RED RIVER INTERNAL MEDICINE
NPI 1992023998
Internal Medicine in Bossier City, LA
About Wk Red River Internal Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WK RED RIVER INTERNAL MEDICINE (NPI 1992023998) is a healthcare organization registered as an internal medicine in Bossier City, Louisiana and active in the NPI registry since May 2010. The organization holds a CLIA Waiver certificate valid through August 12, 2027 and lists Greg J. Gavin, Network Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted 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)
Wk Red River Internal Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Wk Red River Internal Medicine, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Shreveport, LA 71105
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 19D1072269
Wk Red River Internal Medicine · Bossier City, LAFrequently 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 Wk Red River Internal Medicine's NPI number?
The NPI number for Wk Red River Internal Medicine is 1992023998. It was assigned to this organization in the NPPES registry on May 14, 2010.
Where is Wk Red River Internal Medicine located?
Wk Red River Internal Medicine is located at 2300 Hospital Dr Suite 320, Bossier City, LA 71111. The listed phone number is (318) 212-7848.
What is Wk Red River Internal Medicine's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Wk Red River Internal Medicine enrolled in Medicare?
Yes. Wk Red River Internal Medicine is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wk Red River Internal Medicine?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Wk Red River Internal Medicine. 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 (4) and Internal Medicine (1). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Wk Red River Internal Medicine hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 19D1072269) is associated with this NPI, valid through August 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Wk Red River Internal Medicine accept?
Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Wk Red River Internal Medicine 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 Wk Red River Internal Medicine was last updated on June 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Wk Red River Internal Medicine · NPI 1992023998
Internal Medicine organization in Bossier City, Louisiana. Organization record, active in the CMS NPPES registry since May 14, 2010.
## Identity
- **NPI:** 1992023998 (Entity type: Organization)
- **Enumerated:** May 14, 2010
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Greg Gavin, NETWORK ADMINISTRATOR
## Practice location
- **Address:** 2300 HOSPITAL DR, SUITE 320, Bossier City, LA 71111-2394
- **Phone:** (318) 212-7848 · **Fax:** (318) 212-7855
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Internal Medicine (1); 4 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 11, 2012
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1992023998) · Data from the CMS NPPES public registry.