Individual provider Active NPI

Charles Huynh, MD

  • Emergency Medicine Physician
  • Shreveport, LA
National Provider Identifier
1265060537
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
331165 Issued in LA
Practice address
1501 Kings Highway
Emergency Medicine
Shreveport, LA 71130-3932
Phone
(318) 626-1036
NPI assigned
Mar 31, 2020
Last updated
Jan 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X T9926 TX
Emergency Medicine Physician 207P00000X 331165 LA Primary

Addresses

Primary practice location

1501 Kings Highway
Emergency Medicine
Shreveport, LA 71130-3932

Mailing address

1501 Kings Highway
Emergency Medicine
Shreveport, LA 71130-3932
Phone (318) 626-1036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 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
I20220726003329 LA Practitioner - Emergency Medicine 7214319037 Reassigns benefits to 4 organizations
I20230130001268 TX Practitioner - Emergency Medicine 7214319037 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson Emergency Physicians PLLCGroup PAC ID 4880048560, 94 clinicians

Practice addresses (Care Compare)

2830 Calder St
Beaumont, TX 77702-1809
Phone (409) 892-7171

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
331165LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Emergency Group, LLC Emergency Medicine CurrentSince Nov 16, 2022 Accepting new patients
Webster Emergency Group LLC Emergency Medicine CurrentSince Oct 1, 2022 Accepting new patients
Jasper Emergency Medicine Associates PA Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Jefferson Emergency Medicine Associates PA Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Jefferson Emergency Physicians, PLLC Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients
Nes Louisiana Inc Emergency Medicine CurrentSince May 24, 2022 Accepting new patients
Nes Louisiana Inc Emergency Medicine CurrentSince May 24, 2022 Accepting new patients
Oakdale Ess LLC Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Southeast Emergency Medicine Associates, PA Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Beaumont Emergency Medicine Associates PLLC CurrentSince Apr 12, 2023 Accepting new patients
Jasper Emergency Physicians, PLLC Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients

Locations

2531 Viking Dr
Bossier City, LA 71111
Phone (318) 681-7000

207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109

1 Medical Plaza Pl
Minden, LA 71055
Phone (318) 371-4042

501 Keyser Ave
Natchitoches, LA 71457
Phone (318) 214-4200

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

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

3080 College St
Beaumont, TX 77701
Phone (409) 212-5000

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

8801 9th Ave
Port Arthur, TX 77642
Phone (409) 724-3600

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1265060537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 KINGS HIGHWAY",
            "address_2": "EMERGENCY MEDICINE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711303932",
            "telephone_number": "318-626-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 KINGS HIGHWAY",
            "address_2": "EMERGENCY MEDICINE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711303932",
            "telephone_number": "318-626-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "T9926",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "331165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.