NPIMap

Individual provider Active NPI

Anthony J. Stuart, MD

  • Internal Medicine Physician
  • Shreveport, LA
National Provider Identifier
1508839788
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200190 Issued in LA
Practice address
2551 Greenwood Rd
Suite 410
Shreveport, LA 71103-3981
Phone
(318) 621-2929
Fax
(318) 621-2930
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in Shreveport, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Tri-State Medical Clinic 13 clinicians

Practice addresses (Care Compare)

2551 Greenwood Rd
Suite 410
Shreveport, LA 71103-3989
Phone (318) 621-2929

Hospital & facility affiliations

  • Primestar Home Health of Nwla, Inc Home health agency, Minden, LA, CCN 197446
  • Stat Home Health of Northwest Louisiana, LLC Home health agency, Sibley, LA, CCN 197594
  • Elara Caring Home health agency, Bossier City, LA, CCN 197226
  • Elara Caring Home health agency, Texarkana, TX, CCN 457015
  • Vitalcaring Group Home health agency, Bossier City, LA, CCN 197787
  • Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111
  • Christus Shreveport-Bossier Health System Hospital, Shreveport, LA, CCN 190041
  • Christus Good Shepherd Medical Center Hospital, Longview, TX, CCN 450032
  • Springhill Medical Center Hospital, Springhill, LA, CCN 190088
  • Desoto Regional Health System Hospital, Mansfield, LA, CCN 190118
  • Willis-Knighton Medical Center Inpatient rehabilitation facility, Shreveport, LA, CCN 19T111
  • Shreveport Rehabilitation Hospital LLC Inpatient rehabilitation facility, Shreveport, LA, CCN 713029
  • Pam Health Specialty Hospital of Shreveport Long-term care hospital, Shreveport, LA, CCN 192011
  • Intensive Specialty Hospital Long-term care hospital, Shreveport, LA, CCN 192010
  • Progressive Care Center Nursing home, Shreveport, LA, CCN 195136

Merit-based Incentive Payment System (MIPS)

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

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20050802000836 LA Practitioner - Internal Medicine 0648258632 Reassigns benefits to 1 organization
Practice locations: Shreveport, LA

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
WK Tri-State Medical Clinic Internal Medicine CurrentSince Jul 1, 2006 Accepting new patients
Willis Knighton Medical Center, Inc. Past Accepting new patients
Willis Knighton Medical Center, Inc. Past Accepting new patients

Locations

2551 Greenwood Rd
Ste 410
Shreveport, LA 71103
Phone (318) 621-2929

2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4600

Interoperability endpoints

  • Direct secure messaging: astuart@direct.wkhs.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 200190 LA Primary

Addresses

NPPES NPI Registry

Primary practice location

2551 Greenwood Rd
Suite 410
Shreveport, LA 71103-3981

Mailing address

2551 Greenwood Rd
Suite 410
Shreveport, LA 71103-3981
Phone (318) 621-2929

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1727423MedicaidLA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 15, 2007.

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1508839788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 GREENWOOD RD",
            "address_2": "SUITE 410",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033981",
            "telephone_number": "318-621-2929",
            "fax_number": "318-621-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 GREENWOOD RD",
            "address_2": "SUITE 410",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033981",
            "telephone_number": "318-621-2929",
            "fax_number": "318-621-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUART",
        "first_name": "ANTHONY",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "200190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1727423",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.