Active NPI
Bharti M Manchandia, M.D
- Neonatal-Perinatal Medicine Physician
- Shreveport, LA
National Provider Identifier
1689612392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 05496R
- Practice address
- 2510 Bert Kouns Industrial Loop
Shreveport, LA 71118-3119 - Phone
- (318) 212-5395
- NPI assigned
- Jun 3, 2006
- Last updated
- Jul 13, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 05496R | LA | Primary |
Addresses
Primary practice location
2510 Bert Kouns Industrial Loop
Shreveport, LA 71118-3119
Mailing address
5679 Mirador Cir
Shreveport, LA 71119-4009
Phone (318) 222-2229
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1313041 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05496R | LA | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willis Knighton Medical Center, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1568461572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1689612392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5679 MIRADOR CIR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711194009",
"telephone_number": "318-222-2229",
"fax_number": "318-746-9669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 BERT KOUNS INDUSTRIAL LOOP",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711183119",
"telephone_number": "318-212-5395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANCHANDIA",
"first_name": "BHARTI",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "LA",
"license": "05496R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1313041",
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.