NPIMap

Southside Foot Clinic of Shreveport, Inc. a Professional Corporation

A Medicare group practice based in Shreveport, LA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3971547316), with 2 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3971547316The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Podiatry, Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice
Enrolled in
LA
Enrollments
3
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20050616000008 LA Part B Supplier - Clinic/Group Practice 1033111240
O20100930012439 LA DME Supplier - Physician - Podiatry 1033111240
O20120412000530 LA Part B Supplier - Ambulatory Surgical Center 1245215706

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Merit-based Incentive Payment System (MIPS)

Medicare Care Compare
Final score
78.23 of 100Reported as group, on the record of 2 clinicians in this group
Quality
51.97
Improvement activities
40

Clinicians 2

Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (2).

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