Individual provider Active NPI

Cheynita Metoyer, MD

  • Internal Medicine Physician
  • Bossier City, LA
National Provider Identifier
1336405935
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
302400 Issued in LA
Practice address
5751 Shed Rd Ste 120
Bossier City, LA 71111-5662
Phone
(318) 935-1922
Fax
(318) 935-1925
NPI assigned
Apr 9, 2012
Last updated
Sep 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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 302400 LA Primary

Addresses

Primary practice location

5751 Shed Rd Ste 120
Bossier City, LA 71111-5662

Mailing address

5751 Shed Rd Ste 120
Bossier City, LA 71111-5662
Phone (318) 935-1922

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
I20160826001076 LA Practitioner - Internal Medicine 9436452307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in Shreveport, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Internal Medicine and Pediatric SpecialistsGroup PAC ID 8022322957, 2 clinicians

Practice addresses (Care Compare)

5751 Shed Rd
Suite 120
Bossier City, LA 71111-5662
Phone (318) 935-1922

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
302400LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WK Internal Medicine and Pediatric Specialists Internal Medicine CurrentSince Sep 1, 2016 Accepting new patients

Locations

2300 Hospital Dr
Ste 300
Bossier City, LA 71111
Phone (318) 746-2020

5751 Shed Rd
Ste 120
Bossier City, LA 71111
Phone (318) 935-1922

1202 Louisiana Ave
Shreveport, LA 71101
Phone (318) 212-8946

1501 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0434

Interoperability endpoints

  • Direct secure messaging: cmetoyer@direct.wkhs.com

Organizations & group practices 1

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 5

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": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1336405935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 SHED RD STE 120",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711115662",
            "telephone_number": "318-935-1922",
            "fax_number": "318-935-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5751 SHED RD STE 120",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711115662",
            "telephone_number": "318-935-1922",
            "fax_number": "318-935-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METOYER",
        "first_name": "CHEYNITA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "302400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.