Individual provider Active NPI

Kamal A. Masri, MD

  • Internal Medicine Physician
  • Shreveport, LA
National Provider Identifier
1134418437
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
207549 Issued in LA
Practice address
2551 Greenwood Rd Ste 210
Shreveport, LA 71103-3985
Phone
(210) 209-9239
NPI assigned
Apr 7, 2011
Last updated
Jul 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
CONNECT URL https://www.mettles.com/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140605001896 OK Practitioner - Internal Medicine 8022232305 Reassigns benefits to 1 organization
I20150129001319 LA Practitioner - Internal Medicine 8022232305 Reassigns benefits to 8 organizations

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
WK North Pulmonary and Critical CareGroup PAC ID 1759382856, 22 clinicians
CLHG-Ruston LLCGroup PAC ID 7315361425, 24 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Dec 15, 2015 Accepting new patients
Midwest Hospital Medicine Associates PC CurrentSince Dec 1, 2014 Accepting new patients
CLHG-Ruston LLC CurrentSince Oct 1, 2023 Accepting new patients
WK North Pulmonary & Critical Care CurrentSince Jul 1, 2018 Accepting new patients
Hospital Service District No. 1 of Caldwell Parish General Acute Care Hospital CurrentSince Mar 3, 2017 Accepting new patients
Minden Physician Practices LLC CurrentSince Sep 1, 2023 Accepting new patients
Hospital Service District No. 1 Caldwell Parish CurrentSince Mar 3, 2017 Accepting new patients
Masri Group LLC Internal Medicine CurrentSince Jun 25, 2018 Accepting new patients
Green Clinic LLC CurrentSince Jan 9, 2025 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Jan 15, 2016 Accepting new patients
Minden Physician Practices LLC CurrentSince Sep 1, 2023 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Dec 15, 2015 Accepting new patients
Green Clinic LLC Internal Medicine CurrentSince Jan 9, 2025 Accepting new patients
CLHG-Ruston LLC CurrentSince Oct 1, 2023 Accepting new patients
Bryn-Fincher Pulmonary & Critical Care PastSince Jul 17, 2021 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

  • Direct secure messaging: kamal.masri.1@3681.direct.athenahealth.com
  • Direct secure messaging: 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.

View all 15

Hospital & facility affiliations 6

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

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

Verify at the official NPI Registry.