Active NPI
John W Reeves, MD
- Emergency Medicine Physician
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 06231R
- Practice address
- 2600 Greenwood Rd
Shreveport, LA 71103-3908 - Phone
- (318) 212-4500
- Fax
- (318) 212-4143
- NPI assigned
- Aug 15, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 06231R | LA | Primary |
Addresses
Primary practice location
2600 Greenwood Rd
Shreveport, LA 71103-3908
Mailing address
PO Box 32600
Shreveport, LA 71130-2600
Phone (318) 212-4877
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1347612 | Medicaid | LA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Texas a & M University System, HSC, College of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2600 Greenwood Rd
Shreveport, LA 71103-3908
Phone (318) 212-4000
Hospital & facility affiliations
- Willis Knighton Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06231R | LA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cross Lake Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Ed Physicians of West Louisiana, LLC | Emergency Medicine | Past | Accepting new patients |
Locations
2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4600
8001 Youree Dr
Shreveport, LA 71115
Phone (318) 212-3000
2510 Bert Kouns Industrial Loop
Shreveport, LA 71118
Phone (318) 212-5000
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Shreveport, LA
- NPI 1013497114
-
- Emergency Medicine Physician
- West Monroe, LA
- NPI 1255460143
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bossier City, LA
- NPI 1003968579
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1124170691
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1275685539
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1568461572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233792000000",
"number": "1396737540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32600",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711302600",
"telephone_number": "318-212-4877",
"fax_number": "318-212-4192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 GREENWOOD RD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711033908",
"telephone_number": "318-212-4500",
"fax_number": "318-212-4143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEVES",
"first_name": "JOHN",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2009-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "06231R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1347612",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.