NPIMap

Individual provider Active NPI

Cody Tingle, M.D.

  • Internal Medicine Physician
  • Shreveport, LA
National Provider Identifier
1699031237
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.207919 Issued in LA
Practice address
7591 Fern Ave Ste 1401
Shreveport, LA 71105-5747
Phone
(318) 828-2827
Fax
(318) 203-5145
NPI assigned
Apr 9, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X CDR.0007094 CO
Internal Medicine Physician 207R00000X MD.207919 LA Primary

Addresses

Primary practice location

7591 Fern Ave Ste 1401
Shreveport, LA 71105-5747

Mailing address

7591 Fern Ave Ste 1401
Shreveport, LA 71105-5747
Phone (318) 828-2827

Other identifiers 1

IdentifierTypeStateIssuer
2189328MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150915000938 LA Practitioner - Internal Medicine 0749597342 Reassigns benefits to 5 organizations
I20260627000857 CO Practitioner - Internal Medicine 0749597342

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
WK Moller Cassiere ClinicGroup PAC ID 3678587664, 10 clinicians

Practice addresses (Care Compare)

8001 Youree Dr
Suite 400
Shreveport, LA 71115-2340
Phone (318) 212-3456

Hospital & facility affiliations

  • Trucare Home Health West, LLC Home health agency, Shreveport, LA, CCN 197020
  • Elara Caring Home health agency, Bossier City, LA, CCN 197226
  • Louisiana Homecare Home health agency, Mansfield, LA, CCN 197052
  • Superior Hospice Hospice, Mansfield, LA, CCN 191664
  • Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111
  • Desoto Regional Health System Hospital, Mansfield, LA, CCN 190118
  • Christus Shreveport-Bossier Health System Hospital, Shreveport, LA, CCN 190041
  • Intensive Specialty Hospital Long-term care hospital, Shreveport, LA, CCN 192010
  • The Guest House Skilled Nursing and Rehabilitation Nursing home, Shreveport, LA, CCN 195380
  • Heritage Manor of Stratmore Nursing & Rehab Ctr Nursing home, Shreveport, LA, CCN 195486
  • Village Health Care at The Glen Nursing home, Shreveport, LA, CCN 195533
  • Booker T. Washington Skilled Nursing and Rehabilit Nursing home, Shreveport, LA, CCN 195615

Merit-based Incentive Payment System (MIPS)

Final score
91.53 of 100Reported as apm
Quality
81.42
Promoting interoperability
94.6
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Calcasieu Cameron Hospital Medicine Group LLC CurrentSince Jul 17, 2017 Accepting new patients
Cody Tingle MD LLC Internal Medicine CurrentSince Jan 7, 2020 Accepting new patients
Magnolia Medical Internal Medicine Inc Internal Medicine CurrentSince Feb 5, 2026 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Sep 1, 2015 Accepting new patients
WK Moller Cassiere Clinic Internal Medicine CurrentSince Jul 30, 2019 Accepting new patients
Willis Knighton Medical Center, Inc. Past Accepting new patients
PMG Opco-Guest House LLC Past Accepting new patients
Heritage Manor Stratmore Nursing & Rehabilitation Center LLC Past Accepting new patients
The Glen Retirement System Past Accepting new patients
Imperial Health LLP Past Accepting new patients

Locations

4900 Medical Dr
Bossier City, LA 71112
Phone (318) 747-9500

204 Energy Pkwy
Lafayette, LA 70508
Phone (337) 232-1905

524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455

8001 Youree Dr
Ste 400
Shreveport, LA 71115
Phone (318) 212-3456

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

9105 Baird Rd
Shreveport, LA 71118
Phone (318) 688-2823

8001 Youree Dr
Shreveport, LA 71115
Phone (318) 212-3000

530 Stratmore Dr
Shreveport, LA 71115
Phone (318) 524-0187

9225 Normandie Dr
Shreveport, LA 71118
Phone (318) 686-0515

7591 Fern Ave
Ste 1401
Shreveport, LA 71105
Phone (318) 682-8182

701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270

Interoperability endpoints

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

Organizations & group practices 10

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1699031237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7591 FERN AVE STE 1401",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055747",
            "telephone_number": "318-828-2827",
            "fax_number": "318-203-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7591 FERN AVE STE 1401",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055747",
            "telephone_number": "318-828-2827",
            "fax_number": "318-203-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINGLE",
        "first_name": "CODY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-09",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "CDR.0007094",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.207919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2189328",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.