Individual provider Active NPI

Richard Thomas Sipes, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Shreveport, LA
National Provider Identifier
1528063252
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
13289R Issued in LA
Practice address
8625 Line Ave Ste E
Shreveport, LA 71106-6107
Phone
(318) 935-6177
Fax
(888) 935-4748
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 13289R LA
Internal Medicine Physician 207R00000X 13289R LA
Addiction Medicine (Internal Medicine) Physician 207RA0401X 13289R LA Primary

Addresses

Primary practice location

8625 Line Ave Ste E
Shreveport, LA 71106-6107

Mailing address

8625 Line Ave Ste E
Shreveport, LA 71106-6107
Phone (318) 935-6177

Other identifiers 2

IdentifierTypeStateIssuer
385661030DOtherLABCBS
1578827MedicaidLA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040525000111 LA Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 8527049840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care
Education
University of Missouri, Columbia School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHG Lxii LLCGroup PAC ID 1355711342, 2 clinicians

Practice addresses (Care Compare)

1303 Line Ave
Suite 600
Shreveport, LA 71101-4638
Phone (318) 425-3400

Hospital & facility affiliations

  • Amedisys Hospice Hospice, Shreveport, LA, CCN 191533

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13289RLAMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Health LLC Addiction Medicine CurrentSince Jan 19, 2020 Accepting new patients
BHG Lxii LLC CurrentSince Jun 1, 2024 Accepting new patients
BHG Lxii LLC Current Accepting new patients
Center for Behavioral Health Louisiana LLC CurrentSince Jul 22, 2024 Accepting new patients
BHG Lxii LLC CurrentSince Jun 1, 2024 Accepting new patients
Amedisys Hospice, LLC Past Accepting new patients
New Day Recovery, LLC Past Accepting new patients

Locations

2235 Poydras St
Unit B
New Orleans, LA 70119
Phone (504) 524-7205

8625 Line Ave
Ste E
Shreveport, LA 71106
Phone (318) 935-6177

1303 Line Ave
Ste 600
Shreveport, LA 71101
Phone (318) 425-3400

5001 Spring Vly
Ste 600E
Dallas, TX 75244

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Amedisys HospiceShreveport, LA, CCN 191533 Hospice Contracted Managing Employee Apr 8, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1528063252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8625 LINE AVE STE E",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711066107",
            "telephone_number": "318-935-6177",
            "fax_number": "888-935-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8625 LINE AVE STE E",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711066107",
            "telephone_number": "318-935-6177",
            "fax_number": "888-935-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIPES",
        "first_name": "RICHARD",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "LA",
            "license": "13289R",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "13289R",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "LA",
            "license": "13289R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "385661030D",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578827",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.