Lsu Health Sciences Center Shreveport Faculty Group Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LSU HEALTH SCIENCES CENTER SHREVEPORT FACULTY GROUP PRACTICE

Practice address

1541 Kings Hwy
Shreveport, LA 71103-4228

Phone

(318) 626-0000

NPI assigned

Jan 19, 2016

Last updated

Jun 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mitzi Green

Title

Director

Phone

(318) 626-0000

Specialties & licenses 15

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1,245

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jehan Abdulsattar, MD

  • Anatomic Pathology Physician
  • Shreveport, LA
  • NPI 1124448584
  Medicare reassignment Care Compare group NPD
• Ralph Abraham III, MD

  • Diagnostic Radiology Physician
  • Winnsboro, LA
  • NPI 1639346174
  Medicare reassignment Care Compare group NPD
• Adrian Paul Abreo, M.D.

  • Nephrology Physician
  • Shreveport, LA
  • NPI 1023272895

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Kenneth Dominic Abreo, MBBS

  • Nephrology Physician
  • Shreveport, LA
  • NPI 1750303145

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Nimer Abushehab, MD

  • Neurological Surgery Physician
  • Shreveport, LA
  • NPI 1649620238
  Medicare reassignment Care Compare group NPD
• Shaun Ian Accardo, M.D.

  • Orthopaedic Surgery Physician
  • Baton Rouge, LA
  • NPI 1104140755
  Medicare reassignment Care Compare group NPD
• Charles David Adair, M.D

  • Obstetrics & Gynecology Physician
  • Shreveport, LA
  • NPI 1811989098
  Medicare reassignment Care Compare group NPD
• Sharon D Adley, NP

  • Nurse Practitioner
  • Shreveport, LA
  • NPI 1770581274
  Medicare reassignment Care Compare group NPD
• Jacob Afude, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Shreveport, LA
  • NPI 1285263665
  Medicare reassignment Care Compare group NPD
• Pratik Agrawal

  • Cardiovascular Disease Physician
  • Shreveport, LA
  • NPI 1003267410

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Tahir Ahmad

  • Diagnostic Radiology Physician
  • Shreveport, LA
  • NPI 1013521509
  Medicare reassignment Care Compare group NPD
• Shahab Ahmadzadeh, MD

  • Anesthesiology Physician
  • Shreveport, LA
  • NPI 1932640364
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1013374222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 W KIRBY PL",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033822",
            "telephone_number": "318-626-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 KINGS HWY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-626-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LSU HEALTH SCIENCES CENTER SHREVEPORT FACULTY GROUP PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "MITZI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "318-626-0000"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Adrianna Loyd
• Joycelyn W. Loyd, M.A., CCC-SLP
• LPS Transportation Service LLC (Lashunda Samuels)
• LRN Mobile Services LLC
• Lsuhsc Shreveport
• Lsuhsc-S School of Allied Health (LSU Health Shreveport - Allied Health Clinics)
• Lsuhsc-S School of Allied Health (LSU Health Shreveport - Allied Health Clinics Behavioral Health & Audi)
• James Lu, M.D.
• Raymond Lu

• Family Medicine Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.