Active NPI
Paul E Perkowski, M.D.
- Vascular Surgery Physician
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- MD.023188
- Practice address
- 1541 Kings Hwy
Shreveport, LA 71103-4228 - Phone
- (318) 626-0000
- Fax
- (318) 629-4833
- NPI assigned
- Oct 28, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD.023188 | LA | |
| Vascular Surgery Physician | 2086S0129X | MD.023188 | LA | Primary |
Addresses
Primary practice location
1541 Kings Hwy
Shreveport, LA 71103-4228
Mailing address
1512 W Kirby PL
Shreveport, LA 71103-3822
Other practice location 1
5211 Essen Ln Ste 5
Baton Rouge, LA 70809-3564
Phone (225) 384-5617
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1495301 | Medicaid | LA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- State University of Ny Upstate Medical University, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1541 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 675-5000
Hospital & facility affiliations
- Ochsner Lsu Health Shreveport
- Ochsner Lsu Health Monroe
- Ochsner Lsu Health Shreveport-St Mary Medical Cent
- Willis Knighton Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023188 | LA | MD | Pharmacist |
| MD.023188 | LA | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lsu Health Sciences Center Shreveport Faculty Group Practice | Surgery | Current | Accepting new patients |
| Lsuhn Billing LLC | Current | Accepting new patients | |
| Lsuhn Billing LLC | Current | Accepting new patients | |
| University Health Shreveport LLC | Past | Accepting new patients | |
| Brfhh Shreveport LLC | Past | Accepting new patients |
Locations
8585 Picardy Ave
Ste 310
Baton Rouge, LA 70809
Phone (225) 767-5479
5825 Airline Hwy
Baton Rouge, LA 70805
Phone (225) 358-1000
2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000
4864 Jackson St
Monroe, LA 71202
Phone (318) 330-7000
1501 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0434
1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402
1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177
1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287
Interoperability endpoints
- paul.perkowski.p12@direct.vac.nextgenshare.com
- paul.perkowski.p13@direct.vac.nextgenshare.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1013374222
Surgery
-
- Multi-Specialty Clinic/Center
- Lafayette, LA
- NPI 1992975775
-
- Oral and Maxillofacial Surgery (Dentist)
- Baton Rouge, LA
- NPI 1306247556
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1912909912
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1427536325
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Monroe, LA
- NPI 1215939210
-
- Women's Hospital
- Shreveport, LA
- NPI 1285253252
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1427536325
-
- General Acute Care Hospital
- Bossier City, LA
- NPI 1003968579
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1124170691
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1275685539
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1568461572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699315200000",
"number": "1053301150",
"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"
},
{
"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",
"fax_number": "318-629-4833"
}
],
"practiceLocations": [
{
"address_1": "5211 Essen Ln Ste 5",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708093564",
"country_code": "US",
"telephone_number": "225-384-5617",
"fax_number": "225-218-4357",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERKOWSKI",
"first_name": "PAUL",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-28",
"last_updated": "2023-11-07",
"certification_date": "2023-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "LA",
"license": "MD.023188",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "LA",
"license": "MD.023188",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1495301",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.