Individual provider Active NPI

Priyal Upadhyay, MD

  • Allergy & Immunology Physician
  • Shreveport, LA
National Provider Identifier
1053874313
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
330541 Issued in LA
Practice address
2530 Bert Kouns Industrial Loop Ste 115
Shreveport, LA 71118-3153
Phone
(318) 212-4824
Fax
(318) 212-5994
NPI assigned
Apr 12, 2019
Last updated
Sep 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 330541 LA Primary

Addresses

Primary practice location

2530 Bert Kouns Industrial Loop Ste 115
Shreveport, LA 71118-3153

Mailing address

2530 Bert Kouns Industrial Loop Ste 115
Shreveport, LA 71118-3153
Phone (318) 212-4824

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
I20250918002390 LA Practitioner - Allergy/Immunology 9931588753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Allergy Asthma and Immunology CenterGroup PAC ID 0244501617, 2 clinicians

Practice addresses (Care Compare)

2530 Bert Kouns Industrial Loop
Suite 115
Shreveport, LA 71118-3153
Phone (318) 212-4824

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
WK Allergy Asthma & Immunology Center Allergy & Immunology CurrentSince Jul 29, 2025 Accepting new patients

Locations

1202 Louisiana Ave
Shreveport, LA 71101
Phone (318) 212-8946

2530 Bert Kouns Industrial Loop
Ste 112
Shreveport, LA 71118
Phone (318) 212-4824

2530 Bert Kouns Industrial Loop
Ste 115
Shreveport, LA 71118
Phone (318) 212-4824

Organizations & group practices 1

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

Hospital & facility affiliations 4

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": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1053874313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 BERT KOUNS INDUSTRIAL LOOP STE 115",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183153",
            "telephone_number": "318-212-4824",
            "fax_number": "318-212-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 BERT KOUNS INDUSTRIAL LOOP STE 115",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183153",
            "telephone_number": "318-212-4824",
            "fax_number": "318-212-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPADHYAY",
        "first_name": "PRIYAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-12",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "LA",
            "license": "330541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.