Active NPI
Kirit S Patel, M.D.
- Addiction Medicine (Internal Medicine) Physician
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- L05690R
- Practice address
- 2120 Bert Kouns Loop
Ste F
Shreveport, LA 71118-3351 - Phone
- (318) 686-1668
- Fax
- (318) 686-5821
- NPI assigned
- Mar 20, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | L05690R | LA | |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | L05690R | LA | Primary |
Addresses
Primary practice location
2120 Bert Kouns Loop
Ste F
Shreveport, LA 71118-3351
Mailing address
2120 Bert Kouns Loop
Ste F
Shreveport, LA 71118-3351
Phone (318) 686-1668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1322954 | 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
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2120 Bert Kouns Industrial Loop
Suite F
Shreveport, LA 71118-3354
Phone (318) 686-1668
Hospital & facility affiliations
- Christus Shreveport-Bossier Health System
- Willis Knighton Medical Center
- The Guest House Skilled Nursing and Rehabilitation
- Booker T. Washington Skilled Nursing and Rehabilit
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L05690R | LA | MD | Addiction Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minden Physician Practices LLC | Current | Accepting new patients | |
| Kirit S Patel MD Apmc | Internal Medicine | Current | Accepting new patients |
| Minden Physician Practices LLC | Current | Accepting new patients | |
| PMG Opco-Washington LLC | Past | Accepting new patients | |
| PMG Opco-Guest House LLC | Past | Accepting new patients |
Locations
1111 Homer Rd
Minden, LA 71055
Phone (318) 377-7500
216 W Union St
Ste A
Minden, LA 71055
Phone (318) 299-6334
1 Medical Plaza Pl
Minden, LA 71055
Phone (318) 371-4042
9225 Normandie Dr
Shreveport, LA 71118
Phone (318) 686-0515
2120 Bert Kouns Industrial Loop
Ste E
Shreveport, LA 71118
Phone (318) 688-3350
2120 Bert Kouns Industrial Loop
Ste F
Shreveport, LA 71118
Phone (318) 686-1668
2001 Doctors Dr
Springhill, LA 71075
Phone (318) 539-1000
Interoperability endpoints
- kirtkumar.patel.1@3681.direct.athenahealth.com
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.
-
- Internal Medicine Physician
- Shreveport, LA
- NPI 1952606279
-
- Multi-Specialty Clinic/Center
- Minden, LA
- NPI 1497986764
-
- Rural Health Clinic/Center
- Haughton, LA
- NPI 1699392589
-
- Skilled Nursing Facility
- Shreveport, LA
- NPI 1184185506
-
- Skilled Nursing Facility
- Shreveport, LA
- NPI 1184185654
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1417950106
-
- 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": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604880000000",
"number": "1477512309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 BERT KOUNS LOOP",
"address_2": "STE F",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711183351",
"telephone_number": "318-686-1668",
"fax_number": "318-686-5821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 BERT KOUNS LOOP",
"address_2": "STE F",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711183351",
"telephone_number": "318-686-1668",
"fax_number": "318-686-5821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KIRIT",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-20",
"last_updated": "2020-11-09",
"certification_date": "2020-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "LA",
"license": "L05690R",
"primary": false
},
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "LA",
"license": "L05690R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1322954",
"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 Nov 9, 2020; 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.