Kevin James Cline, MD
Individual provider Active NPI Urology Physician · Shreveport, LA
NPI 1699770107 · NPPES record last updated Mar 24, 2010
Key facts
- NPI
- 1699770107
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- 021957 (LA)
- Practice address
- 255 Bert Kouns Loop
Shreveport, LA 71106-8150 - Phone
- (318) 683-0411
- Fax
- (318) 603-5461
- NPI assigned
- Jun 21, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Urology
- Education
- Louisiana State University School of Medicine in Shreveport, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lsu Health Sciences Center Shreveport Faculty Group Practice
Practice addresses (Care Compare)
1541 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 675-5000
Hospital & facility affiliations
- Ochsner Lsu Health Shreveport-St Mary Medical Cent
- Christus Shreveport-Bossier Health System
- Ochsner Lsu Health Shreveport
- Northern Louisiana Medical Center
- Sabine Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 16 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100721000411 | LA | Practitioner - Urology | 0244241305 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021957 | LA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Urology ASC LLC | Current | Accepting new patients | |
| Lsu Health Sciences Center Shreveport Faculty Group Practice | Urology | Current |
Accepting new patients |
| Regional Urology Oncology and Radiation Treatment Center | Past |
Accepting new patients | |
| Brfhh Shreveport LLC | Past | Accepting new patients |
Locations
255 Bert Kouns Loop
Shreveport, LA 71106
1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402
1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177
1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287
201 McMillan Rd
West Monroe, LA 71291
Phone (318) 387-6622
Interoperability endpoints
- kevin.cline@regionalurology.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 021957 | LA | Yes |
Addresses
Primary practice location
255 Bert Kouns Loop
Shreveport, LA 71106-8150
Mailing address
255 Bert Kouns Loop
Shreveport, LA 71106-8150
Phone (318) 683-0411
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340015305 | Other | LA | RAILROAD MEDICARE |
| 1655848 | Medicaid | LA |
Other providers in Shreveport, LA
- Clif Dopson, M.D. Apmc
- Clifton Vaughan MD and Willis-Knighton Medical Center
- Cade J Clifton
- Colleen Hannon Cline
- Debra P Cline
- Clinger Family Counseling Services, LLC
- Ashley Enders Clinger
- Clint Davis Counseling LLC
- Stormy Clinton
- Sue C Cloinger
All providers in Shreveport, LA · Urology Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.