Active NPI
Steven C Whited, MD
- Allergy & Immunology Physician
- Shreveport, LA
National Provider Identifier
1679577340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 04612R
- Practice address
- 955 Oneonta St
Shreveport, LA 71106-1131 - Phone
- (318) 423-5260
- NPI assigned
- Jun 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 04612R | LA | Primary |
Addresses
Primary practice location
955 Oneonta St
Shreveport, LA 71106-1131
Mailing address
955 Oneonta St
Shreveport, LA 71106-1131
Phone (318) 423-5260
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106533601 | Other | TX | TEXAS MEDICAID NUMBER |
| 1053315946 | Other | LA | GROUP NPI NUMBER |
| 1193976 | Medicaid | LA | |
| 139731001 | Other | AR | ARKANSAS MEDICAID NUMBER |
| 030002753 | Other | LA | RAILROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | steven.whited.p1@direct.hcapmc.nextgenshare.com | Direct |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04612R | LA | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lsu Health Sciences Center Shreveport Faculty Group Practice | Current | Accepting new patients |
Locations
1501 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0434
1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402
1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1013374222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763942400000",
"number": "1679577340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 ONEONTA ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711061131",
"telephone_number": "318-423-5260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 ONEONTA ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711061131",
"telephone_number": "318-423-5260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITED",
"first_name": "STEVEN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2025-11-24",
"certification_date": "2025-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "LA",
"license": "04612R",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MEDICAID NUMBER",
"identifier": "106533601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI NUMBER",
"identifier": "1053315946",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1193976",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARKANSAS MEDICAID NUMBER",
"identifier": "139731001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "030002753",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "steven.whited.p1@direct.hcapmc.nextgenshare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1455 E Bert Kouns Loop",
"city": "Shreveport",
"state": "LA",
"country_code": "US",
"postal_code": "711055634",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 24, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.