Organization Active NPI

Krishna R. Singh MD Apmc

  • Internal Medicine Physician
  • Shreveport, LA
National Provider Identifier
1124151857
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
09508R Issued in LA
Legal business name
KRISHNA R. SINGH MD APMC
Practice address
6047 Five Oaks Dr
Suite D
Shreveport, LA 71129-2596
Phone
(318) 686-5255
Fax
(318) 686-5239
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Authorized official

Name
Dr. Krishna R Singh, M.D.NPI 1982713657
Title
MD/Owner
Phone
(318) 686-5255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 09508R LA Primary

Addresses

Primary practice location

6047 Five Oaks Dr
Suite D
Shreveport, LA 71129-2596

Mailing address

6047 Five Oaks Dr
Suite D
Shreveport, LA 71129-2596
Phone (318) 686-5255

Other identifiers 1

IdentifierTypeStateIssuer
1444065MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091130000024 LA Part B Supplier - Clinic/Group Practice 9436298726 Receives reassigned benefits from 1 practitioner
Practice locations: Shereveport, LA

National Provider Directory

National Provider Directory

Locations

6047 Five Oaks Dr
Shreveport, LA 71129

6047 Five Oaks Dr
Ste D
Shreveport, LA 71129
Phone (318) 686-5255

6821 Pines Rd
Ste 400
Shreveport, LA 71129
Phone (318) 686-5255

1800 Irving Pl
Ste 100
Shreveport, LA 71101
Phone (318) 425-4096

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1124151857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6047 FIVE OAKS DR",
            "address_2": "SUITE D",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711292596",
            "telephone_number": "318-686-5255",
            "fax_number": "318-686-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6047 FIVE OAKS DR",
            "address_2": "SUITE D",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711292596",
            "telephone_number": "318-686-5255",
            "fax_number": "318-686-5239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISHNA R. SINGH MD APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "318-686-5255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "09508R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1444065",
            "state": "LA"
        }
    ],
    "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 Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.