Active NPI
Kamal A. Masri, MD
- Internal Medicine Physician
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 207549
- Practice address
- 2551 Greenwood Rd Ste 210
Shreveport, LA 71103-3985 - Phone
- (210) 209-9239
- NPI assigned
- Apr 7, 2011
- Last updated
- Jul 8, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | NU | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Internal Medicine Physician | 207R00000X | 207549 | LA | Primary |
Addresses
Primary practice location
2551 Greenwood Rd Ste 210
Shreveport, LA 71103-3985
Mailing address
2551 Greenwood Rd Ste 210
Shreveport, LA 71103-3985
Phone (318) 212-8159
Other practice location 1
1501 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 675-5053
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.mettles.com/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1202 Louisiana Ave
Shreveport, LA 71101-3910
Phone (318) 635-0834
3801 Creswell Ave
Unit 19
Shreveport, LA 71106-1257
Phone (210) 209-9239
401 E Vaughn Ave
Ruston, LA 71270-5950
Phone (318) 254-2453
Hospital & facility affiliations
- Willis Knighton Medical Center
- Northern Louisiana Medical Center
- Christus Shreveport-Bossier Health System
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Medical Group PLLC | Current | Accepting new patients | |
| Midwest Hospital Medicine Associates PC | Current | Accepting new patients | |
| CLHG-Ruston LLC | Current | Accepting new patients | |
| WK North Pulmonary & Critical Care | Current | Accepting new patients | |
| Hospital Service District No. 1 of Caldwell Parish | General Acute Care Hospital | Current | Accepting new patients |
| Minden Physician Practices LLC | Current | Accepting new patients | |
| Hospital Service District No. 1 Caldwell Parish | Current | Accepting new patients | |
| Masri Group LLC | Internal Medicine | Current | Accepting new patients |
| Green Clinic LLC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| Minden Physician Practices LLC | Current | Accepting new patients | |
| Concord Medical Group of Texas PLLC | Current | Accepting new patients | |
| Green Clinic LLC | Internal Medicine | Current | Accepting new patients |
| CLHG-Ruston LLC | Current | Accepting new patients | |
| Bryn-Fincher Pulmonary & Critical Care | Past | Accepting new patients |
Locations
600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100
170 Healthcare Plaza Dr
Haughton, LA 71037
Phone (318) 382-7299
524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455
1 Medical Plaza Pl
Minden, LA 71055
Phone (318) 371-4042
1111 Homer Rd
Minden, LA 71055
Phone (318) 377-7500
1200 S Farmerville St
Ruston, LA 71270
Phone (318) 251-6103
401 E Vaughn Ave
Ruston, LA 71270
Phone (318) 254-2100
411 E Vaughn Ave
Ste 104
Ruston, LA 71270
Phone (318) 254-2453
1202 Louisiana Ave
Shreveport, LA 71101
Phone (318) 212-8946
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138
2551 Greenwood Rd
Ste 210
Shreveport, LA 71103
Phone (318) 212-8159
1201 Health Center Pkwy
Yukon, OK 73099
Phone (405) 717-6800
Interoperability endpoints
- kamal.masri.1@3681.direct.athenahealth.com
- kmasri@direct.wkhs.com
Organizations & group practices 15
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Shreveport, LA
- NPI 1538654306
-
- Critical Care Medicine (Internal Medicine) Physician
- Shreveport, LA
- NPI 1265529648
-
dba Citizens Medical Center
- General Acute Care Hospital
- Columbia, LA
- NPI 1306865761
-
- Multi-Specialty Clinic/Center
- Minden, LA
- NPI 1497986764
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
LA
-
- Hospitalist Physician
- Grove, OK
- NPI 1124388855
-
dba Citizens Specialty Clinic
- Orthopaedic Surgery Physician
- Columbia, LA
- NPI 1508692104
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Christus Shreveport-Bossier Health System
- General Acute Care Hospital
- Shreveport, LA
- NPI 1417950106
-
dba Northern Louisiana Medical Center
- General Acute Care Hospital
- Ruston, LA
- NPI 1962024026
-
dba WK Bossier Health Center
- General Acute Care Hospital
- Bossier City, LA
- NPI 1003968579
-
dba Willis Knighton South Hospital
- General Acute Care Hospital
- Shreveport, LA
- NPI 1124170691
-
dba WK Pierremont Health Center
- General Acute Care Hospital
- Shreveport, LA
- NPI 1275685539
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1568461572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625702400000",
"number": "1134418437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2551 GREENWOOD RD STE 210",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711033985",
"telephone_number": "318-212-8159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2551 GREENWOOD RD STE 210",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711033985",
"telephone_number": "210-209-9239"
}
],
"practiceLocations": [
{
"address_1": "1501 Kings Hwy",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711034228",
"country_code": "US",
"telephone_number": "318-675-5053",
"fax_number": "318-675-4977",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MASRI",
"first_name": "KAMAL",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-07",
"last_updated": "2021-07-08",
"certification_date": "2021-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "207549",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.mettles.com/",
"affiliation": "N",
"endpointDescription": "2.16.840.1.113883.3.6037.1",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "10320 Little Patuxent Pkwy Ste 233-02",
"city": "Columbia",
"state": "MD",
"country_code": "US",
"postal_code": "210443313",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jul 8, 2021; 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.