Active NPI
Celso Fernando Palmieri
- Oral & Maxillofacial Surgery (D.M.D.)
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 7147
- Practice address
- 1541 Kings Hwy
Shreveport, LA 71103-4228 - Phone
- (318) 626-0000
- NPI assigned
- Feb 29, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 7147 | LA | Primary |
| Dentist | 122300000X | 7147 | LA |
Addresses
Primary practice location
1541 Kings Hwy
Shreveport, LA 71103-4228
Mailing address
1541 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 626-0177
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Oral Surgery
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 N 3Rd St
Alexandria, LA 71301-8582
Phone (318) 769-5090
1541 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 675-5000
Hospital & facility affiliations
- Rapides Regional Medical Center
- Ochsner Lsu Health Shreveport
- Ochsner Lsu Health Shreveport-St Mary Medical Cent
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7147 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rapides Healthcare System LLC | Current | Accepting new patients | |
| Rapides Healthcare System, LLC | Current | Accepting new patients | |
| Rapides Healthcare System, LLC | Current | Accepting new patients | |
| Lsu Health Sciences Center Shreveport Faculty Group Practice | Oral & Maxillofacial Surgery | Current | Accepting new patients |
| Brfhh Shreveport LLC | Past | Accepting new patients | |
| Ochsner Lsu Health Shreveport - St. Mary Medical Center, LLC | Past | Accepting new patients |
Locations
105 N 3rd St
Alexandria, LA 71301
Phone (318) 769-5093
211 4th St
Alexandria, LA 71301
Phone (318) 473-3000
1501 Kings Hwy
Rm 1201
Shreveport, LA 71103
Phone (318) 675-4881
1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287
1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402
2600 Kings Hwy
Ste 300
Shreveport, LA 71103
Phone (318) 212-8344
1501 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0434
Interoperability endpoints
- cpalmieri772104@direct.ochsner.org
Organizations & group practices 6
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
Oral & Maxillofacial Surgery
-
- Pediatric Pulmonology Physician
- Alexandria, LA
- NPI 1366618837
-
- Internal Medicine Physician
- Mamou, LA
- NPI 1174609200
-
- Urgent Care Clinic/Center
- Alexandria, LA
- NPI 1477970168
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1912909912
-
- Community/Retail Pharmacy
- Shreveport, LA
- NPI 1073313268
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Women's Hospital
- Shreveport, LA
- NPI 1285253252
-
- General Acute Care Hospital
- Alexandria, LA
- NPI 1477500015
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1427536325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1104095520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1541 KINGS HWY",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711034228",
"telephone_number": "318-626-0177"
},
{
"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": {
"last_name": "PALMIERI",
"first_name": "CELSO",
"middle_name": "FERNANDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-29",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "LA",
"license": "7147",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "7147",
"primary": false
}
],
"identifiers": [],
"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 12, 2024; 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.