NPIMap

Individual provider Active NPI

Larry S Sasaki, MD

  • Surgery Physician
  • Bossier City, LA
National Provider Identifier
1427054022
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
LA11148R Issued in LA
Practice address
1512 Doctors Dr
Bossier City, LA 71111-3322
Phone
(318) 746-7272
Fax
(318) 746-7212
NPI assigned
Jun 28, 2005
Reactivated
Apr 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X LA11148R LA Primary
Colon & Rectal Surgery Physician 208C00000X LA11148R LA

Addresses

Primary practice location

1512 Doctors Dr
Bossier City, LA 71111-3322

Mailing address

1512 Doctors Dr
Bossier City, LA 71111-3322
Phone (318) 746-7272

Other practice location 1

9091 Ellerbe Rd Ste 200
Shreveport, LA 71106-6737
Phone (318) 681-6260

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
I20040614000807 LA Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 4981688462 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Colorectal Surgery (Proctology)
Education
University of Oklahoma College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6800
Phone (318) 681-4138

1512 Doctors Dr
Bossier City, LA 71111-3322
Phone (318) 746-7272

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy88
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux18
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LA11148RLAMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Louisiana Surgery Center LLC CurrentSince Nov 28, 2009 Accepting new patients
North Louisiana Surgery Center Colon & Rectal Surgery Past Accepting new patients

Locations

1512 Doctors Dr
Bossier City, LA 71111
Phone (318) 549-4930

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14073/brand/1/csg/1/fhir/r4
  • Direct secure messaging: larry.sasaki.1@14073.direct.athenahealth.com

Organizations & group practices 3

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 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1427054022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 DOCTORS DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113322",
            "telephone_number": "318-746-7272",
            "fax_number": "318-746-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 DOCTORS DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113322",
            "telephone_number": "318-746-7272",
            "fax_number": "318-746-7212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9091 Ellerbe Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711066737",
            "country_code": "US",
            "telephone_number": "318-681-6260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SASAKI",
        "first_name": "LARRY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "LA11148R",
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "LA",
            "license": "LA11148R",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.