Individual provider Active NPI

Indira Sastry, M.D.

  • Pulmonary Disease Physician
  • Shreveport, LA
National Provider Identifier
1659367175
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
10916R Issued in LA
Practice address
1666 E Bert Kouns Loop
Suite 225
Shreveport, LA 71105-5714
Phone
(318) 797-7696
Fax
(318) 797-3836
NPI assigned
Sep 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 10916R LA Primary

Addresses

Primary practice location

1666 E Bert Kouns Loop
Suite 225
Shreveport, LA 71105-5714

Mailing address

2533 Bert Kouns Industrial Loop 106
Shreveport, LA 71118-3158
Phone (318) 212-5976

Other identifiers 1

IdentifierTypeStateIssuer
1650366MedicaidLA

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
I20050523000899 LA Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 0749222594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2508 Bert Kouns Industrial Loop
Suite 304B
Shreveport, LA 71118-3100
Phone (318) 212-5976

2600 Greenwood Rd
Shreveport, LA 71103-3908

Hospital & facility affiliations

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10916RLAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indira Sastry and Willis-Knighton Pulmonary Disease CurrentSince Mar 7, 2005 Accepting new patients
Lifecare Hospitals LLC Past Accepting new patients
Internal Medical Associates of Doctors Hospital Past Accepting new patients

Locations

2508 Bert Kouns Industrial Loop
Ste 304B
Shreveport, LA 71118
Phone (318) 212-5976

1202 Louisiana Ave
Shreveport, LA 71101
Phone (318) 212-8946

2533 Bert Kouns Industrial Loop
Ste 106
Shreveport, LA 71118
Phone (318) 212-5976

2508 Bert Kouns Industrial Loop
Ste 300
Shreveport, LA 71118
Phone (318) 212-5757

1666 E Bert Kouns Industrial Loop
Ste 225
Shreveport, LA 71105
Phone (318) 524-9101

Interoperability endpoints

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

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 4

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1659367175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2533 BERT KOUNS INDUSTRIAL LOOP 106",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183158",
            "telephone_number": "318-212-5976",
            "fax_number": "318-212-5986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1666 E BERT KOUNS LOOP",
            "address_2": "SUITE 225",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055714",
            "telephone_number": "318-797-7696",
            "fax_number": "318-797-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASTRY",
        "first_name": "INDIRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "LA",
            "license": "10916R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1650366",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.