NPIMap

Individual provider Active NPI

Luke Isaiah Mosel, DO

  • Anesthesiology Physician
  • Shreveport, LA
National Provider Identifier
1356846430
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
328793 Issued in LA
Practice address
1541 Kings Hwy
Shreveport, LA 71103-4228
Phone
(318) 626-0000
Fax
(318) 629-4833
NPI assigned
Mar 29, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 328793 LA Primary

Addresses

Primary practice location

1541 Kings Hwy
Shreveport, LA 71103-4228

Mailing address

1512 W Kirby PL
Shreveport, LA 71103-3822
Phone (318) 626-0177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20230511000642 OK Practitioner - Pain ManagementPractitioner - Anesthesiology 6608117494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Rocky Vista University College of Osteopathic Med, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14041 N Eastern Ave
Edmond, OK 73013-5586
Phone (580) 339-8001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.72 of 100Reported as group
Quality
61.08
Promoting interoperability
99
Improvement activities
40
Cost
57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7917OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Western Oklahoma Pain Specialists LLC CurrentSince Jun 15, 2023 Accepting new patients
Western Oklahoma Pain Specialists LLC CurrentSince Jun 15, 2023 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Terrell R Phillips DO Inc Anesthesiology PastSince Jun 7, 2020 Accepting new patients
Hospital for Special Surgery L L C Past Accepting new patients

Locations

1616 S Kelly Ave
Edmond, OK 73013
Phone (405) 330-0015

14041 N Eastern Ave
Edmond, OK 73013
Phone (405) 888-3893

1710 W 3rd St
Ste 100
Elk City, OK 73644
Phone (580) 255-1555

1801 W 3rd St
Elk City, OK 73644
Phone 5802255403677

1901 W 3rd St
Ste C
Elk City, OK 73644
Phone (580) 225-9222

1007 N Main St
Ste 101
Elk City, OK 73644

5606 SW Lee Blvd
Ste 203
Lawton, OK 73505
Phone (580) 531-6469

5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700

301 SW 80th St
Oklahoma City, OK 73139
Phone (405) 601-4227

8100 S Walker Ave
Bldg C
Oklahoma City, OK 73139
Phone (405) 602-6500

217 N Illinois St
Weatherford, OK 73096
Phone (405) 733-8000

3701 E Main St
Weatherford, OK 73096
Phone (580) 772-5551

908 19th St
Ste 310
Woodward, OK 73801
Phone (580) 256-6033

900 17th St
Woodward, OK 73801
Phone (405) 610-4411

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCBBBD

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.

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": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1356846430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 W KIRBY PL",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033822",
            "telephone_number": "318-626-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 KINGS HWY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-626-0000",
            "fax_number": "318-629-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSEL",
        "first_name": "LUKE",
        "middle_name": "ISAIAH",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-29",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "328793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.