NPIMap

Individual provider Active NPI

Jason Layne Campbell, MD

  • Diagnostic Radiology Physician
  • Shreveport, LA
National Provider Identifier
1740490655
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
202098 Issued in LA
Practice address
1505 E Bert Kouns Industrial Loop Ste 201
Shreveport, LA 71105-5723
Phone
(318) 681-4103
NPI assigned
May 22, 2007
Last updated
Apr 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301080056 MI
Diagnostic Radiology Physician 2085R0202X 2007013152 MO
Diagnostic Radiology Physician 2085R0202X 202098 LA Primary

Addresses

Primary practice location

1505 E Bert Kouns Industrial Loop Ste 201
Shreveport, LA 71105-5723

Mailing address

PO Box 9600, Dept 09-038
Texarkana, TX 75505-9600
Phone (877) 243-8416

Other practice location 1

1453 E Bert Kouns Industrial Loop
attn: Radiology dept
Shreveport, LA 71105-6800
Phone (318) 681-4347

Other identifiers 1

IdentifierTypeStateIssuer
1365807MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080827000572 LA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 6305912338 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians
Radiology Associates LLCGroup PAC ID 8628041464, 83 clinicians
Christus Health Central LouisianaGroup PAC ID 4688570955, shared by 10 NPIs, 46 clinicians

Practice addresses (Care Compare)

1449 E Bert Koun Loop
Shreveport, LA 71105-5663
Phone (318) 681-4282

1449 E Bert Kouns Industrial Loop
Suite 101
Shreveport, LA 71105-5663
Phone (318) 681-4282

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6800
Phone (318) 681-4138

1633 Marvel St
Coushatta, LA 71019-9022
Phone (318) 932-2081

1635 Marvel St
Coushatta, LA 71019-9022

3330 Masonic Dr
Alexandria, LA 71301-3841
Phone (318) 483-4090

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.85 of 100Reported as group
Quality
84.62
Improvement activities
40
Cost
76.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301080056MIMDDiagnostic Radiology Physician
2007013152MOMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Imaging Associates Diagnostic Radiology CurrentSince Jul 8, 2008 Accepting new patients
Christus Trinity Clinic Texas CurrentSince May 1, 2025 Accepting new patients
Radiology Associates LLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Christus Trinity Clinic Texas CurrentSince May 1, 2025 Accepting new patients

Locations

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

1 Saint Mary Pl
Shreveport, LA 71101
Phone (318) 681-4500

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

Organizations & group practices 4

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 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1740490655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9600, DEPT 09-038",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755059600",
            "telephone_number": "877-243-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 E BERT KOUNS INDUSTRIAL LOOP STE 201",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055723",
            "telephone_number": "318-681-4103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1453 E Bert Kouns Industrial Loop",
            "address_2": "attn: Radiology dept",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711056800",
            "country_code": "US",
            "telephone_number": "318-681-4347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JASON",
        "middle_name": "LAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301080056",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2007013152",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "202098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1365807",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.