Individual provider Active NPI

William Andress, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Shreveport, LA
National Provider Identifier
1417316258
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DPM.200071 Issued in LA
Practice address
385 Bert Kouns Loop Ste 200
Shreveport, LA 71106-8158
Phone
(318) 688-7058
Fax
(318) 687-9950
NPI assigned
Feb 22, 2016
Last updated
Feb 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X DPM.200071 LA
Sports Medicine Podiatrist 213ES0000X DPM.200071 LA
Foot & Ankle Surgery Podiatrist 213ES0103X DPM.200071 LA Primary

Addresses

Primary practice location

385 Bert Kouns Loop Ste 200
Shreveport, LA 71106-8158

Mailing address

385 Bert Kouns Loop Ste 200
Shreveport, LA 71106-8158

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160607000274 LA Practitioner - Podiatry 0749570588 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ark la Tex Foot and Ankle Specialists LLCGroup PAC ID 7214931450, 5 clinicians

Practice addresses (Care Compare)

2850 Plantation Dr
Bossier City, LA 71111-5850
Phone (318) 746-9555

385 Bert Kouns
BLDG. 200
Shreveport, LA 71106-8158

385 Bert Kouns Industrial Loop
Suite 200
Shreveport, LA 71106-8158

385 Bert Kouns Loop
Suite 200
Shreveport, LA 71106-8158
Phone (318) 687-8447

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue60
Removal of skin lesions94
Removal of nail tissue292
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DPM.200071LAMDSports Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lsu Health Sciences Center Shreveport Faculty Group Practice CurrentSince Dec 14, 2016 Accepting new patients

Locations

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

1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287

1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402

Interoperability endpoints

  • Direct secure messaging: wandress@arklatexfoot.mdlogic.direct-ci.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 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": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1417316258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 BERT KOUNS LOOP STE 200",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711068158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 BERT KOUNS LOOP STE 200",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711068158",
            "telephone_number": "318-688-7058",
            "fax_number": "318-687-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRESS",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "LA",
            "license": "DPM.200071",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "LA",
            "license": "DPM.200071",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "LA",
            "license": "DPM.200071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.