Organization Active NPI

Northwest Louisiana Nephrology, LLC

  • Nephrology Physician
  • Shreveport, LA
National Provider Identifier
1669416491
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NORTHWEST LOUISIANA NEPHROLOGY, LLC
Practice address
1800 Buckner St
Suite C120
Shreveport, LA 71101-4440
Phone
(318) 227-8899
Fax
(318) 222-0407
NPI assigned
Jun 15, 2006
Last updated
Mar 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Authorized official

Name
Sreedhara B AllaNPI 1215155791
Title
MD
Phone
(318) 227-8899

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

1800 Buckner St
Suite C120
Shreveport, LA 71101-4440

Mailing address

1800 Buckner St Ste C120
Shreveport, LA 71101-4453
Phone (318) 227-8899

Other practice location 1

2501 Greenwood Rd Ste C-120
Shreveport, LA 71103-3905
Phone (318) 631-1584

Other identifiers 1

IdentifierTypeStateIssuer
1941255MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050614000128 LA Part B Supplier - Clinic/Group Practice 7911996509 Receives reassigned benefits from 28 practitioners
Practice locations: Shreveport, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D0862382Northwest Louisiana Nephrology LLC1800 Buckner Street, Suite C-120, Shreveport, LA 71101AccreditationOct 31, 2026
19D0862383Northwest Louisiana Nephrology LLC2501 Greenwood Road, Shreveport, LA 71103Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1800 Buckner St
Shreveport, LA 71101
Phone (318) 222-1149

1800 Buckner St
Ste C120
Shreveport, LA 71101
Phone (318) 227-8899

2501 Greenwood Rd
Shreveport, LA 71103
Phone (318) 631-1584

2501 Greenwood Rd
Ste C120
Shreveport, LA 71103
Phone (318) 631-1584

3300 Virginia Ave
Ste 9
Shreveport, LA 71103
Phone (318) 525-1806

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1669416491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BUCKNER ST STE C120",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014453",
            "telephone_number": "318-227-8899",
            "fax_number": "318-222-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BUCKNER ST",
            "address_2": "SUITE C120",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014440",
            "telephone_number": "318-227-8899",
            "fax_number": "318-222-0407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 Greenwood Rd Ste C-120",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711033905",
            "country_code": "US",
            "telephone_number": "318-631-1584",
            "fax_number": "318-635-8322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHWEST LOUISIANA NEPHROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "ALLA",
        "authorized_official_first_name": "SREEDHARA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "318-227-8899"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1941255",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.