John Stephen Kilpatrick, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

015694 Issued in LA

Practice address

745 Olive St Ste 207
Shreveport, LA 71104-2250

Phone

(318) 216-3040

Fax

(318) 216-3614

NPI assigned

Aug 29, 2006

Last updated

Jun 30, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Nephrology

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dci - Shreveport Dialysis facility, Shreveport, LA, CCN 192586
• Fmcna - Southwest Shreveport Dialysis facility, Shreveport, LA, CCN 192579
• DaVita Broadmoor Dialysis Dialysis facility, Shreveport, LA, CCN 192695
• Dci - North Shreveport Dialysis facility, Shreveport, LA, CCN 192669
• Fmcna - North Bossier Dialysis facility, Bossier City, LA, CCN 192731
• Christus Shreveport-Bossier Health System Hospital, Shreveport, LA, CCN 190041
• Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• John S Kilpatrick MD a Professional Medical Corporation

  • Nephrology Physician
  • Shreveport, LA
  • NPI 1386013670
  Medicare reassignment NPD Authorized official
• Delta Nephrology LLC

  • Nephrology Physician
  • Shreveport, LA
  • NPI 1356713440
  NPD (past)

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

• Bio-Medical Applications of Louisiana, LLC

  dba Fresenius Medical Care Southwest Shreveport

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Shreveport, LA
  • NPI 1245342005

  Dialysis facility

  Care Compare affiliation Name & address match
• Bio-Medical Applications of Louisiana, LLC

  dba Fresenius Medical Care North Bossier

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bossier City, LA
  • NPI 1639558646

  Dialysis facility

  Care Compare affiliation Name & address match
• Dialysis Clinic Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Shreveport, LA
  • NPI 1356374730

  Dialysis facility

  Care Compare affiliation Name & address match
• Christus Health Northern Louisiana

  dba Christus Shreveport-Bossier Health System

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1417950106
  Care Compare affiliation
• 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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1629187422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 OLIVE ST",
            "address_2": "STE 207",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042250",
            "telephone_number": "318-216-3040",
            "fax_number": "318-216-3614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 OLIVE ST STE 207",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042250",
            "telephone_number": "318-216-3040",
            "fax_number": "318-216-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILPATRICK",
        "first_name": "JOHN",
        "middle_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "015694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1327247",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina Marie Kihnley, DPT
• Kendal Kiihnl
• Linda K. Kiihnl, MCD SLP CCC
• Asha Kilaru, M.D.
• Tiffany Killingsworth
• Morgan Kilpatrick, OTR/L, CNS
• Andrew Kim, DMD
• Dongsoo David Kim, DMD, MD
• Enoch Kim, MD
• Jennifer Kim, M.D.

• Nephrology Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Nephrology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.

Verify at the official NPI Registry.