Individual provider Active NPI

William Harrel Watkins, M.D.

  • Otolaryngology Physician
  • Shreveport, LA
National Provider Identifier
1003812009
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
022795 Issued in LA
Practice address
2121 Line Ave
Shreveport, LA 71104-2126
Phone
(318) 226-9441
Fax
(318) 425-3236
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 022795 LA Primary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 022795 LA

Addresses

Primary practice location

2121 Line Ave
Shreveport, LA 71104-2126

Mailing address

2121 Line Ave
Shreveport, LA 71104-2126
Phone (318) 226-9441

Other identifiers 1

IdentifierTypeStateIssuer
1687464MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100916000967 LA Practitioner - Otolaryngology 8628113388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Louisiana State University School of Medicine in Shreveport, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Nose and Throat Center a Medical CorporationGroup PAC ID 4486629540, 9 clinicians
Cornerstone Therapy and Balance Center, LLCGroup PAC ID 0345397899, 98 clinicians

Practice addresses (Care Compare)

2121 Line Ave
Shreveport, LA 71104-2126
Phone 3182269441232

8961 Youree Dr
Shreveport, LA 71115-3001
Phone (318) 671-8772

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22795LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Nose & Throat Center a Medical Corporation Otolaryngology CurrentSince Jul 1, 2000 Accepting new patients

Locations

2121 Line Ave
Shreveport, LA 71104
Phone (318) 226-9441

8575 Fern Ave
Ste 103
Shreveport, LA 71105
Phone (318) 798-0759

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1003812009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042126",
            "telephone_number": "318-226-9441",
            "fax_number": "318-425-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042126",
            "telephone_number": "318-226-9441",
            "fax_number": "318-425-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "WILLIAM",
        "middle_name": "HARREL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": "022795",
            "primary": true
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "LA",
            "license": "022795",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1687464",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.