NPIMap

Individual provider Active NPI

Roopashree Muralidhar, M.D.

  • Internal Medicine Physician
  • Shreveport, LA
National Provider Identifier
1346487808
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
329723 Issued in LA
Practice address
2508 Bert Kouns Industrial Loop Ste 102
Shreveport, LA 71118-3175
Phone
(318) 212-5777
Fax
(318) 212-5888
NPI assigned
Jan 20, 2009
Last updated
Jun 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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 329723 LA Primary

Addresses

Primary practice location

2508 Bert Kouns Industrial Loop Ste 102
Shreveport, LA 71118-3175

Mailing address

2508 Bert Kouns Industrial Loop Ste 102
Shreveport, LA 71118-3175
Phone (318) 212-5777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220217001456 LA Practitioner - Internal Medicine 8224285564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Frederick and Braud ClinicGroup PAC ID 8022199553, 4 clinicians

Practice addresses (Care Compare)

2508 Bert Koun Loop
Suite 102
Shreveport, LA 71118-3175
Phone (318) 212-5777

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
329723LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WK Frederick and Braud Clinic Internal Medicine CurrentSince Jun 1, 2025 Accepting new patients
Riverbend Medical Group, Inc Past Accepting new patients

Locations

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

2508 Bert Kouns Industrial Loop
Ste 102
Shreveport, LA 71118
Phone (318) 212-5777

2508 Bert Kouns Industrial Loop
Ste 301
Shreveport, LA 71118
Phone (318) 212-5991

Interoperability endpoints

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

Organizations & group practices 2

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 9

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": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1346487808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 BERT KOUNS INDUSTRIAL LOOP STE 102",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183175",
            "telephone_number": "318-212-5777",
            "fax_number": "318-212-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 BERT KOUNS INDUSTRIAL LOOP STE 102",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183175",
            "telephone_number": "318-212-5777",
            "fax_number": "318-212-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURALIDHAR",
        "first_name": "ROOPASHREE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-20",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "329723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.