Active NPI
John A Kirkikis, MD
- Gastroenterology Physician
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 018495
- Practice address
- 3217 Mabel St
Shreveport, LA 71103-4022 - Phone
- (318) 631-9121
- Fax
- (318) 631-9126
- NPI assigned
- Nov 23, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
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.
-
- Gastroenterology Physician
- Shreveport, LA
- NPI 1932171725
Gastroenterology, LA
-
- Gastroenterology Physician
- Shreveport, LA
- NPI 1255676870
Gastroenterology, LA
-
- Federally Qualified Health Center (FQHC)
- Baton Rouge, LA
- NPI 1265548614
LA
-
- Certified Registered Nurse Anesthetist
- Shreveport, LA
- NPI 1801822762
LA
-
- Federally Qualified Health Center (FQHC)
- Baton Rouge, LA
- NPI 1720965767
-
- Hospitalist Physician
- Shreveport, LA
- NPI 1255754966
Gastroenterology
-
- Federally Qualified Health Center (FQHC)
- Winnfield, LA
- NPI 1275769119
-
- Federally Qualified Health Center (FQHC)
- Ruston, LA
- NPI 1447133459
-
- Federally Qualified Health Center (FQHC)
- Pollock, LA
- NPI 1982132189
-
- Plastic Surgery Physician
- Alexandria, LA
- NPI 1568795292
-
- Endoscopy Clinic/Center
- Shreveport, LA
- NPI 1982676771
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bossier City, LA
- NPI 1003968579
Hospital
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1124170691
Hospital
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1275685539
Hospital
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1568461572
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Louisiana State University School of Medicine in New Orleans, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gi Specialists Hospitalists at WKMCGastrointestinal Specialists AMC
Practice addresses (Care Compare)
1202 Louisiana Ave
Shreveport, LA 71101-3910
Phone (318) 212-8946
3217 Mabel St
Shreveport, LA 71103-4022
Phone (318) 631-9121
Hospital & facility affiliations
- Willis Knighton Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 31 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 90 |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101108000976 | LA | Practitioner - Gastroenterology | 0840218004 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018495 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winn Community Health Center, Inc. | Current | Accepting new patients | |
| Gi Specialists Hospitalists at WKMC | Gastroenterology | Current | Accepting new patients |
| Christus Health Northern Louisiana | Gastroenterology | Current | Accepting new patients |
| Capitol City Family Health Center Incorporated | Current | Accepting new patients | |
| Capitol City Family Health Center, Incorporated | Current | Accepting new patients | |
| Gastrointestinal Specialists, a.M.C. | Gastroenterology | Current | Accepting new patients |
| Winn Community Health Center, Inc. | Current | Accepting new patients | |
| Winn Community Health Center, Inc. | Current | Accepting new patients | |
| Shreveport Endoscopy Center, a Medical Corporation | Past | Accepting new patients | |
| John S. McCabe, M.D., Apc | Past | Accepting new patients |
Locations
3140 Florida St
Baton Rouge, LA 70806
Phone (225) 650-2000
2400 Hospital Dr
Ste 370
Bossier City, LA 71111
Phone (318) 212-7902
340 Webb Smith Dr
Colfax, LA 71417
Phone (318) 627-3700
216 W Union St
Ste B
Minden, LA 71055
Phone (318) 371-5600
8001 Youree Dr
Ste 540
Shreveport, LA 71115
Phone (318) 212-3787
8383 Millicent Way
Ste B
Shreveport, LA 71115
Phone (318) 681-4282
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138
8730 Youree Dr
Ste A
Shreveport, LA 71115
Phone (318) 221-2707
1202 Louisiana Ave
Shreveport, LA 71101
Phone (318) 212-8946
8730 Youree Dr
Ste Ab
Shreveport, LA 71115
Phone (318) 408-1505
1800 E 70th St
Shreveport, LA 71105
Phone (318) 798-9400
3217 Mabel St
Shreveport, LA 71103
2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4600
Interoperability endpoints
- john.kirkikis@gis.eclinicaldirectplus.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 018495 | LA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3217 Mabel St
Shreveport, LA 71103-4022
Mailing address
3217 Mabel St
Shreveport, LA 71103-4022
Phone (318) 631-9121
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD.018495 | Other | LA | STATE LICENSE |
| 1396079 | Medicaid | LA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 11, 2022.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1700869724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3217 MABEL ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711034022",
"telephone_number": "318-631-9121",
"fax_number": "318-631-9126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3217 MABEL ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711034022",
"telephone_number": "318-631-9121",
"fax_number": "318-631-9126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRKIKIS",
"first_name": "JOHN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-23",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "LA",
"license": "018495",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "MD.018495",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1396079",
"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 Aug 11, 2022; 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.
- 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.