Organization Active NPI

Nikvi Medical LLC

  • Hospitalist Physician
  • Bossier City, LA
National Provider Identifier
1104721711
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
NIKVI MEDICAL LLC
Practice address
4900 Medical Dr
Bossier City, LA 71112-4521
Phone
(469) 640-4264
Fax
(469) 854-0386
NPI assigned
Oct 13, 2026
Last updated
Oct 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Authorized official

Name
Dr. Tejaswi Kalva, MD
Title
Owner
Phone
(469) 640-4264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X Primary

Addresses

Primary practice location

4900 Medical Dr
Bossier City, LA 71112-4521

Mailing address

PO Box 19015
Shreveport, LA 71149-0015
Phone (469) 640-4264

Other practice location 1

8001 Youree Dr
Shreveport, LA 71115-2302
Phone (469) 640-4264

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1791849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791936000000",
    "number": "1104721711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19015",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711490015",
            "telephone_number": "469-640-4264",
            "fax_number": "469-854-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 MEDICAL DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711124521",
            "telephone_number": "469-640-4264",
            "fax_number": "469-854-0386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8001 Youree Dr",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711152302",
            "country_code": "US",
            "telephone_number": "469-640-4264",
            "fax_number": "469-854-0386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NIKVI MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-13",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A",
        "authorized_official_last_name": "KALVA",
        "authorized_official_first_name": "TEJASWI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-640-4264",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.