NPIMap

Individual provider Active NPI

Eric W Smith, M.D.

  • Internal Medicine Physician
  • Shreveport, LA
National Provider Identifier
1417910720
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
021641 Issued in LA
Practice address
1449 E Bert Kouns Industrial Loop
Suite 100
Shreveport, LA 71105-5634
Phone
(318) 629-0220
Fax
(318) 629-0230
NPI assigned
Apr 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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 021641 LA Primary

Addresses

Primary practice location

1449 E Bert Kouns Industrial Loop
Suite 100
Shreveport, LA 71105-5634

Mailing address

1449 E Bert Kouns Industrial Loop
Suite 100
Shreveport, LA 71105-5634
Phone (318) 629-0220

Other identifiers 1

IdentifierTypeStateIssuer
1162086MedicaidLA

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
I20060428000395 LA Practitioner - Internal Medicine 3971532078 Reassigns benefits to 1 organization
Practice locations: Bossier City, LA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Shreveport Internal MedicineGroup PAC ID 8527429448, 6 clinicians
Cornerstone Therapy and Balance Center, LLCGroup PAC ID 0345397899, 98 clinicians

Practice addresses (Care Compare)

1811 E Bert Koun Loop
Suite 120
Shreveport, LA 71105-5741
Phone (318) 212-3738

8961 Youree Dr
Shreveport, LA 71115-3001
Phone (318) 671-8772

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.53 of 100Reported as apm
Quality
81.42
Promoting interoperability
94.6
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021641LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WK Shreveport Internal Medicine Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients

Locations

1449 E Bert Kouns Industrial Loop
Ste 100
Shreveport, LA 71105
Phone (318) 629-0220

1811 E Bert Kouns Industrial Loop
Ste 120
Shreveport, LA 71105
Phone (318) 212-2720

Interoperability endpoints

  • Direct secure messaging: esmith@direct.wkhs.com
  • Direct secure messaging: esmith415847@christushealth.direct-ci.net

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1417910720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 E BERT KOUNS INDUSTRIAL LOOP",
            "address_2": "SUITE 100",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055634",
            "telephone_number": "318-629-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 E BERT KOUNS INDUSTRIAL LOOP",
            "address_2": "SUITE 100",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055634",
            "telephone_number": "318-629-0220",
            "fax_number": "318-629-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ERIC",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "021641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1162086",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.