Individual provider Active NPI

Elliot Sorrell, MD

  • Hospitalist Physician
  • Shreveport, LA
National Provider Identifier
1073045431
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
325132 Issued in LA
Practice address
2551 Greenwood Rd Ste 410
Shreveport, LA 71103-3989
Phone
(186) 212-9293
Fax
(318) 638-3169
NPI assigned
Apr 3, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 325132 LA
Hospitalist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208M00000X 325132 LA Primary

Addresses

Primary practice location

2551 Greenwood Rd Ste 410
Shreveport, LA 71103-3989

Mailing address

2551 Greenwood Rd Ste 410
Shreveport, LA 71103-3989
Phone (318) 621-2929

Other practice location 1

1666 E Bert Kouns Industrial Loop Ste 105
Shreveport, LA 71105-5718
Phone (318) 212-3520

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
I20211122002107 LA Practitioner - HospitalistPractitioner - Internal Medicine 4688940034 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Louisiana State University School of Medicine in Shreveport, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Urgent Care Center-PierremontGroup PAC ID 8123016946, 39 clinicians
WK North Hospitalists GroupGroup PAC ID 4486973872, 9 clinicians

Practice addresses (Care Compare)

1666 E Bert Kouns Industrial Loop
Suite 105
Shreveport, LA 71105-5718
Phone (318) 212-3520

2551 Greenwood Rd
Suite 410
Shreveport, LA 71103-3989
Phone (318) 621-2929

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
WK Urgent Care Center-Pierremont Single Specialty CurrentSince Sep 1, 2022 Accepting new patients
WK North Hospitalists Group Single Specialty CurrentSince Jul 14, 2021 Accepting new patients
Willis Knighton Medical Center, Inc. Past Accepting new patients

Locations

2551 Greenwood Rd
Ste 410
Shreveport, LA 71103
Phone (318) 621-2929

2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4600

2520 Bert Kouns Industrial Loop
Shreveport, LA 71118

1666 E Bert Kouns Industrial Loop
Ste 105
Shreveport, LA 71105
Phone (318) 212-3520

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

Organizations & group practices 3

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 9

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": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1073045431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 GREENWOOD RD STE 410",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033989",
            "telephone_number": "318-621-2929",
            "fax_number": "318-638-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 GREENWOOD RD STE 410",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033989",
            "telephone_number": "186-212-9293",
            "fax_number": "318-638-3169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1666 E Bert Kouns Industrial Loop Ste 105",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711055718",
            "country_code": "US",
            "telephone_number": "318-212-3520",
            "fax_number": "318-212-3525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORRELL",
        "first_name": "ELLIOT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-03",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "325132",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": "LA",
            "license": "325132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.