Individual provider Active NPI

John A Kirkikis, MD

  • Gastroenterology Physician
  • Shreveport, LA
National Provider Identifier
1700869724
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
018495 Issued in LA
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.

Hospital & facility affiliations 4

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

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 WKMC 12 clinicians
Gastrointestinal Specialists AMC 32 clinicians

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 Hospital, Shreveport, LA, CCN 190111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy31
Upper gastrointestinal (GI) endoscopy for acid reflux90

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
018495LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Winn Community Health Center, Inc. Current Accepting new patients
Gi Specialists Hospitalists at WKMC Gastroenterology CurrentSince Jul 1, 2017 Accepting new patients
Christus Health Northern Louisiana Gastroenterology CurrentSince Jul 1, 2017 Accepting new patients
Capitol City Family Health Center Incorporated CurrentSince Apr 29, 2022 Accepting new patients
Capitol City Family Health Center, Incorporated CurrentSince Apr 29, 2022 Accepting new patients
Gastrointestinal Specialists, a.M.C. Gastroenterology CurrentSince Jul 1, 2017 Accepting new patients
Winn Community Health Center, Inc. CurrentSince Sep 25, 2024 Accepting new patients
Winn Community Health Center, Inc. CurrentSince Sep 25, 2024 Accepting new patients
Shreveport Endoscopy Center, a Medical Corporation Past Accepting new patients
John S. McCabe, M.D., Apc PastSince Jul 1, 1990 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

  • Direct secure messaging: john.kirkikis@gis.eclinicaldirectplus.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 018495 LA Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
MD.018495OtherLASTATE LICENSE
1396079MedicaidLA

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

Verify at the official NPI Registry.