Individual provider Active NPI

Kelvin Spears, MD

  • Emergency Medicine Physician
  • Alexandria, LA
National Provider Identifier
1073538161
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
12499R Issued in LA
Practice address
3330 Masonic Dr
Alexandria, LA 71301-3841
Phone
(800) 639-2519
Fax
(985) 447-8556
NPI assigned
Jul 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 12499R LA Primary

Addresses

Primary practice location

3330 Masonic Dr
Alexandria, LA 71301-3841

Mailing address

PO Box 12670
Alexandria, LA 71315-2670
Phone (800) 639-2519

Other identifiers 1

IdentifierTypeStateIssuer
1535885MedicaidLA

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
I20070112000402 LA Practitioner - Emergency Medicine 0840244240 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Meharry Medical College School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alexandria Ep, LLCGroup PAC ID 5991235723, 9 clinicians

Practice addresses (Care Compare)

5900 Coliseum Blvd
Alexandria, LA 71303-3714
Phone (713) 357-2535

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12499RLAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians Emergency Medicine of Louisiana Inc Emergency Medicine CurrentSince Mar 15, 2018 Accepting new patients
Alexandria Ep, LLC CurrentSince Oct 16, 2019 Accepting new patients
River Oaks Emergency Group, LLC Emergency Medicine CurrentSince May 1, 2021 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC CurrentSince Mar 15, 2018 Accepting new patients
Nes Louisiana Inc Emergency Medicine CurrentSince Oct 23, 2016 Accepting new patients
Nes Louisiana Inc Emergency Medicine CurrentSince Oct 23, 2016 Accepting new patients
Southern Inpatient Specialists, LLC PastSince Oct 1, 2005 Accepting new patients
Christus Health Central Louisiana Past Accepting new patients
ER Medical Services, Inc. Emergency Medicine Past Accepting new patients

Locations

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

5900 Coliseum Blvd
Alexandria, LA 71303
Phone (318) 386-8110

2351 Viking Dr
Bossier City, LA 71111
Phone (318) 681-4500

524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455

501 Keyser Ave
Natchitoches, LA 71457
Phone (318) 214-4200

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Alexandria Hospital LLCAlexandria, LA, CCN 190319 Hospital Corporate Officer Oct 16, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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 1

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073538161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12670",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713152670",
            "telephone_number": "800-639-2519",
            "fax_number": "985-447-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 MASONIC DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013841",
            "telephone_number": "800-639-2519",
            "fax_number": "985-447-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEARS",
        "first_name": "KELVIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "12499R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1535885",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.