Wally R Nawas, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

024997 Issued in LA

Practice address

2300 Hospital Drive
Suite 140
Bossier City, LA 71111-2157

Phone

(318) 746-2020

Fax

(318) 741-3508

NPI assigned

Mar 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Louisiana State University School of Medicine in Shreveport, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bossier Eye Institute LLCGroup PAC ID 0648244848, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111

Merit-based Incentive Payment System (MIPS)

Final score

88.76 of 100Reported as individual

Quality

92.07

Improvement activities

40

Cost

73.11

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FEIHBD
• FHIR API: https://fhir4.healow.com/fhir/r4/FEIHBD/Endpoint/FEIHBD

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.

• Bossier Eye Institute LLC

  • Ophthalmology Physician
  • Bossier City, LA
  • NPI 1104947589
  Medicare reassignment Care Compare group NPD Authorized official

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

• Willis Knighton Medical Center, Inc.

  dba WK Bossier Health Center

  • General Acute Care Hospital
  • Bossier City, LA
  • NPI 1003968579
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  dba Willis Knighton South Hospital

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1124170691
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  dba WK Pierremont Health Center

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1275685539
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1568461572
  Care Compare affiliation

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1518936376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HOSPITAL DRIVE",
            "address_2": "SUITE 140",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112157",
            "telephone_number": "318-746-2020",
            "fax_number": "318-741-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HOSPITAL DRIVE",
            "address_2": "SUITE 140",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112157",
            "telephone_number": "318-746-2020",
            "fax_number": "318-741-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAWAS",
        "first_name": "WALLY",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "024997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1423551",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1423351",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Nale
• Peter T Nasser, MS, PLPC
• Raghu P Nathan, MD
• National Infusion Therapy, LLC (Medical Infusion Therapy of Louisiana)
• Jennifer Nawas, LPC
• Nealan D Prather MD and Willis-Knighton Medical Center
• Nelson Nunez DMD LLC
• Ashlea Nelson, MCD, CCC-SLP
• Davonte Nelson
• Jason D Nelson, M.D.

• Ophthalmology Physician in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Ophthalmology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.

Verify at the official NPI Registry.