Individual provider Active NPI

Benjamin Marcus Feibel, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Shreveport, LA
National Provider Identifier
1114380656
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
330076 Issued in LA
Practice address
1455 E Bert Kouns Industrial Loop Ste 210
Shreveport, LA 71105-5634
Phone
(318) 798-4623
NPI assigned
Apr 1, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 125.077385 IL
Adult Reconstructive Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0114X 330076 LA Primary

Addresses

Primary practice location

1455 E Bert Kouns Industrial Loop Ste 210
Shreveport, LA 71105-5634

Mailing address

1455 E Bert Kouns Industrial Loop Ste 210
Shreveport, LA 71105-6000
Phone (318) 798-4623

Other practice location 1

5025 Shed Rd
Bossier City, LA 71111-5434
Phone (318) 798-4623

Other identifiers 1

IdentifierTypeStateIssuer
2416405MedicaidLA

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
I20220701000901 LA Practitioner - Orthopedic Surgery 3173927043 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Louisiana State University School of Medicine in Shreveport, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highland Clinic, a Prof Med CorpGroup PAC ID 3870493463, 60 clinicians
Cornerstone Therapy and Balance Center, LLCGroup PAC ID 0345397899, 98 clinicians

Practice addresses (Care Compare)

1455 E Bert Koun Loop
Shreveport, LA 71105-5634
Phone (318) 798-4539

1541 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 675-5000

8961 Youree Dr
Shreveport, LA 71115-3001
Phone (318) 671-8772

Hospital & facility affiliations

  • Elara Caring Home health agency, Bossier City, LA, CCN 197226
  • Elara Caring Home health agency, Mansfield, LA, CCN 197161
  • Elara Caring Home health agency, Texarkana, TX, CCN 457015
  • Elara Caring Home health agency, Monroe, LA, CCN 197276
  • Elara Caring Home health agency, Natchitoches, LA, CCN 197120
  • Christus Shreveport-Bossier Health System Hospital, Shreveport, LA, CCN 190041
  • Christus St Frances Cabrini Hospital Hospital, Alexandria, LA, CCN 190019
  • Springhill Medical Center Hospital, Springhill, LA, CCN 190088
  • Christus Schumpert Health System Inpatient rehabilitation facility, Shreveport, LA, CCN 19T041

Merit-based Incentive Payment System (MIPS)

Final score
78.6 of 100Reported as group
Quality
58.23
Promoting interoperability
97
Improvement activities
40
Cost
72.94

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement53
Knee replacement66
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lsu Health Sciences Center Shreveport Faculty Group Practice Multi-Specialty CurrentSince Sep 23, 2024 Accepting new patients
Highland Clinic, a Prof Med Corp Multi-Specialty CurrentSince Aug 8, 2022 Accepting new patients
Highland Clinic, a Prof Med Corp Multi-Specialty CurrentSince Aug 8, 2022 Accepting new patients

Locations

5025 Shed Rd
Bossier City, LA 71111
Phone (318) 795-4741

1501 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0434

1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402

950 Olive St
Shreveport, LA 71104
Phone (318) 221-1581

1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 300-3643

1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287

1455 E Bert Kouns Industrial Loop
Ste 210
Shreveport, LA 71105
Phone (318) 798-4623

Networks

  • LA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: ben.feibel.p1@direct.hcapmc.nextgenshare.com

Organizations & group practices 4

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 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1114380656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 E BERT KOUNS INDUSTRIAL LOOP STE 210",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711056000",
            "telephone_number": "318-798-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 E BERT KOUNS INDUSTRIAL LOOP STE 210",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055634",
            "telephone_number": "318-798-4623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5025 Shed Rd",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711115434",
            "country_code": "US",
            "telephone_number": "318-798-4623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEIBEL",
        "first_name": "BENJAMIN",
        "middle_name": "MARCUS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-01",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "IL",
            "license": "125.077385",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "LA",
            "license": "330076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2416405",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.