Individual provider Active NPI

Maurie Patterson Rosen, MD

  • Internal Medicine Physician
  • Shreveport, LA
National Provider Identifier
1720020027
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
022510 Issued in LA
Practice address
7813 Youree Dr
Shreveport, LA 71105-5505
Phone
(318) 212-2929
Fax
(318) 212-2939
NPI assigned
Jun 12, 2006
Last updated
Jan 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 022510 LA Primary

Addresses

Primary practice location

7813 Youree Dr
Shreveport, LA 71105-5505

Mailing address

7813 Youree Dr
Shreveport, LA 71105-5505
Phone (318) 212-2929

Other identifiers 1

IdentifierTypeStateIssuer
1694932MedicaidLA

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
I20051230000251 LA Practitioner - Internal Medicine 1355363664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in Shreveport, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Pierremont Associates in Internal MedicineGroup PAC ID 9537447214, 4 clinicians

Practice addresses (Care Compare)

7813 Youree Dr
Shreveport, LA 71105-5505
Phone (318) 212-2929

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
022510LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WK Pierremont Associates in Internal Medicine Internal Medicine CurrentSince Sep 26, 2016 Accepting new patients

Locations

1811 E Bert Kouns Industrial Loop
Ste 130
Shreveport, LA 71105
Phone (318) 212-2929

7813 Youree Dr
Shreveport, LA 71105
Phone (318) 212-2929

Interoperability endpoints

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

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1720020027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7813 YOUREE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055505",
            "telephone_number": "318-212-2929",
            "fax_number": "318-212-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7813 YOUREE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055505",
            "telephone_number": "318-212-2929",
            "fax_number": "318-212-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "MAURIE",
        "middle_name": "PATTERSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "022510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1694932",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.