Diagnostic Imaging Associates
Organization Active NPI Diagnostic Radiology Physician · Shreveport, LA
NPI 1194807271 · NPPES record last updated Mar 16, 2023
Key facts
- NPI
- 1194807271
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- DIAGNOSTIC IMAGING ASSOCIATES
- Practice address
- 1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6800 - Phone
- (318) 798-4300
- NPI assigned
- Oct 19, 2006
- Organization subpart
- No
Authorized official
- Name
- John Hebert, MD
- Title
- President
- Phone
- (318) 572-4403
Practitioners 34
-
John A Braud, MD
-
Jessica Caraway, MD
-
Jay Philip Fakier, M.D.
-
John R Hebert II, MD
-
Robert Webster Stewart, M.D.
-
Jeffrey Scott Weeks, M.D.
-
Kelly E White, MD
-
Syed Akbar, MD
-
Jody M Barber, MD
-
Amy Rubeis Charron, M.D.
-
Naveen Galla, MD
-
Michael K. Herron, M. D.
-
Jehanzeb Khan, MBBS
-
Shingo Kihira, M.D.
-
David Edward Lee, M.D.
-
William Kenneth Mask, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (12 enrollments) in LA, FL, CA, WI, NY, MI, CO, MS, IL, NC, KY, WV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041118000039 | LA | Part B Supplier - Clinic/Group Practice | 9133183213 |
Receives reassigned benefits from 12 practitioners Practice locations: Shreveport, LA; Bossier City, LA |
| O20230814003503 | FL | Part B Supplier - Clinic/Group Practice | 9133183213 |
Receives reassigned benefits from 3 practitioners Practice locations: Crystal River, FL; Lakewood Ranch, FL; Miami Beach, FL |
| O20230815002636 | CA | Part B Supplier - Clinic/Group Practice | 9133183213 |
Receives reassigned benefits from 3 practitioners Practice locations: Garden Grove, CA; Los Angeles, CA; Newport Beach, CA |
| O20230816001195 | WI | Part B Supplier - Clinic/Group Practice | 9133183213 |
Receives reassigned benefits from 1 practitioner Practice locations: Mequon, WI |
| O20230914000912 | NY | Part B Supplier - Clinic/Group Practice | 9133183213 |
Receives reassigned benefits from 5 practitioners Practice locations: Dix Hills, NY; New York, NY; Rochester, NY |
| O20231005003184 | MI | Part B Supplier - Clinic/Group Practice | 9133183213 |
Receives reassigned benefits from 2 practitioners Practice locations: Beverly Hills, MI; Northville, MI |
| O20231012000302 | CO | Part B Supplier - Clinic/Group Practice | 9133183213 |
Receives reassigned benefits from 2 practitioners Practice locations: Denver, CO; Monument, CO |
| O20231023001343 | MS | Part B Supplier - Clinic/Group Practice | 9133183213 |
Receives reassigned benefits from 2 practitioners Practice locations: Meridian, MS; Olive Branch, MS |
| O20231205003243 | IL | Part B Supplier - Clinic/Group Practice | 9133183213 |
Receives reassigned benefits from 1 practitioner Practice locations: Oak Brook, IL |
| O20240326003170 | NC | Part B Supplier - Clinic/Group Practice | 9133183213 |
Receives reassigned benefits from 1 practitioner Practice locations: Durham, NC |
| O20240415001966 | KY | Part B Supplier - Clinic/Group Practice | 9133183213 |
Receives reassigned benefits from 1 practitioner Practice locations: Elizabethtown, KY |
| O20241126002709 | WV | Part B Supplier - Clinic/Group Practice | 9133183213 |
Receives reassigned benefits from 1 practitioner Practice locations: Huntington, WV |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6800
Mailing address
PO Box 3488
Dept 05-042
Tupelo, MS 38803-3488
Phone (855) 896-8453
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All providers in Shreveport, LA · Diagnostic Radiology Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.