Individual provider Active NPI

Thomas Brian Caskey, MD

  • Internal Medicine Physician
  • Shreveport, LA
National Provider Identifier
1174570998
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
018922 Issued in LA
Practice address
One St Mary Place
Shreveport, LA 71101
Phone
(318) 681-4500
Fax
(318) 681-4177
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 018922 LA Primary

Addresses

Primary practice location

One St Mary Place
Shreveport, LA 71101

Mailing address

10338 Evangeline Oaks Circle
Shreveport, LA 71106
Phone (318) 797-1695

Other identifiers 1

IdentifierTypeStateIssuer
1910279MedicaidLA

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
I20081230000533 LA Practitioner - Internal MedicinePractitioner - Emergency Medicine 6901968833 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Urgent Care Center-PierremontGroup PAC ID 8123016946, 39 clinicians

Practice addresses (Care Compare)

1666 E Bert Kouns Industrial Loop
Suite 105
Shreveport, LA 71105-5718
Phone (318) 212-3520

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018922LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas Internal Medicine CurrentSince Apr 2, 2022 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Apr 2, 2022 Accepting new patients
WK Urgent Care Center-Pierremont Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
WK Urgent Care Center - Bossier Past Accepting new patients
Louisiana Em-1 Medical Services, PC Past Accepting new patients

Locations

2151 Airline Dr
Ste 700
Bossier City, LA 71111
Phone (318) 550-2176

2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4600

7045 Youree Dr
Shreveport, LA 71105
Phone (318) 681-6890

9460 Ellerbe Rd
Ste 140
Shreveport, LA 71106
Phone (318) 213-7070

1666 E Bert Kouns Industrial Loop
Ste 105
Shreveport, LA 71105
Phone (318) 212-3520

2520 Bert Kouns Industrial Loop
Ste 105
Shreveport, LA 71118
Phone (318) 212-5520

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

9300 Mansfield Rd
Ste 110
Shreveport, LA 71118
Phone (318) 629-3763

Interoperability endpoints

  • Direct secure messaging: tcaskey287589@christushealth.direct-ci.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1174570998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10338 EVANGELINE OAKS CIRCLE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71106",
            "telephone_number": "318-797-1695",
            "fax_number": "318-797-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE ST MARY PLACE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71101",
            "telephone_number": "318-681-4500",
            "fax_number": "318-681-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASKEY",
        "first_name": "THOMAS",
        "middle_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "018922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1910279",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.